Individual
JESSENYA LIZETTE FALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332343801
—
TX
01
—
PA05883
TEXAS LICENSE
TX
01
—
TXB127794
MEDICARE
TX
Enumeration date
03/06/2009
Last updated
06/23/2026
Update your record
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