Individual
JACQUELINE A UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-7201
(713) 792-6161
(214) 648-8917
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-2841
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305787901
—
TX
Enumeration date
07/09/2012
Last updated
10/04/2018
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