Individual
JESSICA LEWIS WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
250 W SUNSET RD, SAN ANTONIO, TX 78209-2651
(210) 293-2663
(210) 293-2719
Mailing address
PO BOX 546, SAN ANTONIO, TX 78292-0546
(210) 293-2663
(210) 293-2719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09753
TX
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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