Individual
ISHRAT JAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1301 SOLANA BLVD STE 2200, WESTLAKE, TX 76262-1769
(214) 705-4183
Mailing address
1917 GARRETTS WAY, MANCHACA, TX 78652-4507
(214) 705-4183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
02/02/2024
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