Individual
JENNIFER J FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2710 SWISS AVE, DALLAS, TX 75204-5900
(214) 821-1599
Mailing address
2710 SWISS AVE, DALLAS, TX 75204-5900
(214) 821-1599
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036142531
IL
208600000X
Surgery Physician
Primary
R4840
TX
390200000X
Student in an Organized Health Care Education/Training Program
LL1904
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378291401
—
TX
Enumeration date
06/27/2008
Last updated
09/02/2020
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