Individual
MISS JESSICA HOWARD GREENEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3410 WORTH ST, STE 160, DALLAS, TX 75246-2003
(214) 826-9873
(214) 826-2573
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294803601
—
TX
05
—
294803602
—
TX
01
—
P01043288
RAILROAD
TX
Enumeration date
01/23/2012
Last updated
05/01/2017
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