Individual
JESSICA HANSON BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.A.S., P.A.-C
Contact information
Practice address
808 S BUCHANAN ST, AMARILLO, TX 79101-3604
(806) 378-9090
Mailing address
808 S BUCHANAN ST, AMARILLO, TX 79101-3604
(806) 378-9090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07632
TX
Other
Enumeration date
02/02/2012
Last updated
11/27/2012
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