Individual
DR. JESSICA SMALL GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 E MARSHALL AVE STE 200, LONGVIEW, TX 75601-5544
(903) 236-2222
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10047215
TX
207R00000X
Internal Medicine Physician
Q8064
TX
207RG0100X
Gastroenterology Physician
Primary
Q8064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358475702
—
TX
01
—
P02531943
MEDICARE RAIL ROAD
TX
Enumeration date
04/17/2013
Last updated
01/27/2023
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