Organization
JENNIFER WEATHERLY D.O.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WEATHERLY D.O. (PHYSICIAN)
(972) 274-5200
Entity
Organization
Contact information
Practice address
3250 W PLEASANT RUN RD STE 160, LANCASTER, TX 75146-1071
(972) 274-5200
Mailing address
3250 W PLEASANT RUN RD STE 160, LANCASTER, TX 75146-1071
(972) 274-5200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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