Individual
JISA SAJI GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052-1707
(972) 522-7778
(972) 522-7779
Mailing address
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052-1707
(972) 522-7778
(972) 522-7779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18566
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2024
Last updated
05/19/2026
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