Individual
JEREMY SHANE DOLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6020 W PARKER RD, SUITE 200, PLANO, TX 75093-8171
(480) 414-6886
Mailing address
PO BOX 470281, FORT WORTH, TX 76147-0281
(480) 414-6886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07624
TX
Other
Enumeration date
02/29/2012
Last updated
03/26/2012
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