Individual
JESSICA GERMOND MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 456-1600
(214) 456-7594
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-1600
(214) 456-7594
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
32571
IA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
P8605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180000
—
IA
01
—
46030
WELLMARK BCBS
IA
Enumeration date
09/26/2005
Last updated
02/11/2014
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