Individual
JACQUELINE KAY ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-4474
Mailing address
6431 FANNIN ST., MSB 4.264, HOUSTON, TX 77030-1501
(281) 838-7184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17386
TX
Other
Enumeration date
09/15/2023
Last updated
10/09/2024
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