Individual
ALEXA JAZMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 PENTRO PATH, GEORGETOWN, TX 78626-3069
(210) 330-3711
Mailing address
136 PENTRO PATH, GEORGETOWN, TX 78626-3069
(210) 330-3711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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