Individual
JESSICA PRAFUL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 CENTRAL DR, SUITE 310, BEDFORD, TX 76022-6000
(817) 267-8470
(817) 267-0396
Mailing address
7610 N STEMMONS FWY STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M5496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2885105-01
—
TX
01
—
8CX379
BCBSTX
TX
Enumeration date
05/22/2007
Last updated
09/23/2020
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