Individual
JAI'CEE D TUDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-5202
(214) 645-3597
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(817) 987-3955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16391
TX
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
06/25/2026
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