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Individual

JESSENYA LIZETTE FALCON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
801 W 1ST ST, SAN JUAN, TX 78589
(956) 787-8915
(956) 787-2021
Mailing address
801 W 1ST ST, SAN JUAN, TX 78589-2276
(956) 787-8915
(956) 787-2021

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
08/31/2018
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