Jennifer a Hathaway DDS PA

NPI #1972139764 in Bryan, Texas

Provider Information

NPI Number
1972139764
Entity Type
Organization
Organization Name
Jennifer a Hathaway DDS PA
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
Mar 12, 2020
Last Updated
Mar 21, 2023

Practice Location

Address
1719 BROADMOOR DR
City
Bryan
State
Texas
ZIP Code
77802-5210
Phone
(979) 776-6884

Authorized Official

Name
MRS. STEVIE FESTER, RDA
Title
PRACTICE MANAGER
Phone
(979) 776-6884

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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