Individual
JILLIAN M BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7217 TELECOM PKWY STE 100A, GARLAND, TX 75044-2203
(469) 800-2530
Mailing address
7217 TELECOM PKWY STE 100A, GARLAND, TX 75044-2203
(469) 800-2530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07596
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/05/2011
Last updated
02/01/2023
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