Individual
MRS. JESSICA LORRAINE TEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-9257
(972) 596-4005
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05192
TX
Other
Enumeration date
03/31/2010
Last updated
08/23/2022
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