Jennifer Weatherly D.o.p.a.

NPI #1588115455 in Lancaster, Texas

Provider Information

NPI Number
1588115455
Entity Type
Organization
Organization Name
Jennifer Weatherly D.o.p.a.
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Oct 17, 2016
Last Updated
Oct 17, 2016

Practice Location

Address
3250 W PLEASANT RUN RD STE 160
State
Texas
ZIP Code
75146-1071
Phone
(972) 274-5200

Authorized Official

Name
JENNIFER WEATHERLY, D.O.
Title
PHYSICIAN
Phone
(972) 274-5200

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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