Fournier, Jacqueline F

Fournier, Jacqueline F is an individual health care provider with primary practice located at 27760 Ranch Road 12 Bldg 1, Dripping Springs TX 78620. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fournier, Jacqueline F can be contacted via phone (512) 829-9118.

Contact Information

Primary practice address
27760 Ranch Road 12 Bldg 1 Dripping Springs TX 78620
Phone: (512) 829-9118
Fax: (512) 406-7301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K2903 Texas

Profile Details

NPI number 1972693471
LBN Legal business name Fournier, Jacqueline F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 19th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972693471 NPPES
Texas MEDICAID 104596507
Texas MEDICAID 104596506
Texas MEDICAID 104596504
Texas MEDICAID 104596505
Texas MEDICAID 200013510A

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