JORDAN LASHEA MAYBERRY

DALLAS, TX
NPI1982940466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA08183)
Enumeration Date2013-01-02
Last Update Date2019-05-09
Business Address
JORDAN LASHEA MAYBERRY PA
5200 HARRY HINES BLVD
DALLAS, TX 75235-7709
Phone number: 214-645-4656
Mailing Address
JORDAN LASHEA MAYBERRY PA
PO BOX 845347
DALLAS, TX 75284-7208
Phone number: 214-590-4656