Individual
JERRY VANPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-5533
Mailing address
3863 DUCHESS TRL, DALLAS, TX 75229-5242
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00420
TX
Other
Enumeration date
11/30/2006
Last updated
02/07/2008
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