Individual
JENNIFER C PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1807 W SLAUGHTER LN, #490, AUSTIN, TX 78748-6208
(512) 282-8967
(512) 292-5143
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170903201
—
TX
05
—
170903202
—
TX
05
—
170903203
—
TX
05
—
170903204
—
TX
Enumeration date
07/31/2006
Last updated
06/01/2011
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