JESSICA PROCTER, M.D.,P.A.
Osteopathic Medicine at Forest Ln, Dallas, TX

License number
Texas H6522
Category
Osteopathic Medicine
Type
Rheumatology
Owner
Name: DR. JESSICA PROCTER M.D.
Title: OWNER
Phone: (972) 566-5563
Address
Address
7777 Forest Ln SUITE B242, Dallas, TX 75230
National Provider ID: 1639129414
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JESSICA PROCTER, M.D., PA

Dallas, TX

Status:
Inactive
Doing business as:
Jessica Procter, M.D., PA
Registration:
Feb 22, 1996
Addresses:
6947 Azalea Ln, Dallas, TX 75230 (Mailing)
7777 Frst Ln, Dallas, TX 75230
State ID:
0081687603
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member:
Jessica Procter (President , Treasurer , Secretary , Director , Member)
TIN:
32036014648

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