Garner, Jessica Small
Garner, Jessica Small is an individual health care provider with primary practice located at 701 E Marshall Ave Ste 200 , Longview TX 75601-5544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Garner, Jessica Small can be contacted via phone (903) 236-2222.Contact Information
Primary practice address
701 E Marshall Ave Ste 200
Longview TX 75601-5544
Phone: (903) 236-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BP10047215 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q8064 | Texas |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | Q8064 | Texas |
Profile Details
| NPI number | 1558705814 |
|---|---|
| LBN Legal business name | Garner, Jessica Small |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2013 |
| Last updated | Jan 27th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558705814 | NPPES |
| Texas | MEDICAID | 358475702 | |
| Texas | Other | P02531943 |
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