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NPI Code Detail

MEDICARE: JANE KATHERINE EWLES

MEDICARE: JANE KATHERINE EWLES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantTX

General Provider Information

NPI Number : 1043173347
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE KATHERINE EWLES
Provider Business Mailing Address
First Line : 4441 W AIRPORT FWY STE 215
Second Line :
City : IRVING
State : TX
Zip : 75062-5959
Country : US
Telephone Number : 469-913-6136
Fax Number :
Provider Business Practice Location Address
First Line : 4441 W AIRPORT FWY STE 215
Second Line :
City : IRVING
State : TX
Zip : 75062-5959
Country : US
Telephone Number : 469-913-6136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 02/26/2026

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Directions to “ JANE KATHERINE EWLES ” Practice Location

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