Individual
DR. JENNIFER GAYE HENNESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 MEDICAL, SEGUIN, TX 78155-5392
(830) 379-0299
(830) 401-0323
Mailing address
PO BOX 1266, SEGUIN, TX 78156-1266
(830) 379-0299
(830) 401-0323
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M1754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177185901
—
TX
Enumeration date
10/26/2005
Last updated
11/13/2024
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