Individual
MRS. JESSIE FAYE HINTON-OMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 WENDELL WAY, GARLAND, TX 75043-1722
(972) 926-3873
(972) 240-2931
Mailing address
1101 WENDELL WAY, GARLAND, TX 75043-1722
(972) 926-3873
(972) 240-2931
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TAX
171M00000X
TX
Enumeration date
08/26/2010
Last updated
08/26/2010
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