Individual
MR. CESAR R JAZMIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1507 RIVERY BLVD, GEORGETOWN, TX 78628-3058
(512) 509-9550
(512) 509-9555
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09925
TX
363A00000X
Physician Assistant
PA9113843
FL
363AM0700X
Medical Physician Assistant
PA9113843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059000
—
FL
Enumeration date
12/10/2009
Last updated
04/28/2026
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