Individual
JENNIFER MCBRYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002030
VA
363A00000X
Physician Assistant
Primary
PA04850
TX
363AM0700X
Medical Physician Assistant
PA 04580
TX
Other
Enumeration date
09/13/2006
Last updated
10/18/2023
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