Fiesta, Mary Jessica

Fiesta, Mary Jessica is an individual health care provider with primary practice located at 6301 Gaston Ave Suite 100 West Tower, Dallas TX 75214-3922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fiesta, Mary Jessica can be contacted via phone (214) 827-3610.

Contact Information

Primary practice address
6301 Gaston Ave Suite 100 West Tower Dallas TX 75214-3922
Phone: (214) 827-3610
Fax: (214) 821-4017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 721121 Texas

Profile Details

NPI number 1992043517
LBN Legal business name Fiesta, Mary Jessica
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Mar 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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