Individual
JAIME LYNN MAST SHAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-4673
(214) 648-7016
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-4673
(214) 648-7016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
200319
LA
363A00000X
Physician Assistant
Primary
PA10486
TX
Other
Enumeration date
09/29/2009
Last updated
05/12/2016
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