Individual
JESSICA WALLACE DRIGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S. 31ST STREET, TEMPLE, TX 76508
(254) 724-4363
(254) 724-1938
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 248-8800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M4043
TX
Other
Enumeration date
12/04/2006
Last updated
01/07/2021
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