Individual
JESSICA LEE ORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
913 S MAIN ST, DEL RIO, TX 78840-5807
(830) 774-5534
(830) 774-0890
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-1892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1092413
NCCPA
TX
05
—
4529448-01
—
TX
Enumeration date
07/06/2010
Last updated
11/16/2023
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