Individual
JENNIFER M EITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A104530
CA
208000000X
Pediatrics Physician
N1711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198795001
—
TX
05
—
198795002
—
TX
05
—
198795003
—
TX
05
—
198795004
—
TX
05
—
198795005
—
TX
05
—
198795006
—
TX
05
—
198795011
—
TX
01
—
LL1716
MEDICAL LICENSE
NV
Enumeration date
03/21/2007
Last updated
03/07/2023
Update your record
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