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NPI Code Detail

MEDICARE: DR. JENNIFER ANNA LEE HECHT D.O.

MEDICARE: DR. JENNIFER ANNA LEE HECHT D.O.
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
1208600000XSurgery PhysicianQ4699TX
22086X0206XSurgical Oncology PhysicianQ4699TX
3208600000XSurgery Physician4961OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3P01768696OTHERTXRAILROAD

General Provider Information

NPI Number : 1932411683
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER ANNA LEE HECHT D.O.
Provider Business Mailing Address
First Line : PO BOX 911230
Second Line :
City : DALLAS
State : TX
Zip : 75391-1230
Country : US
Telephone Number : 972-997-8000
Fax Number : 972-234-2987
Provider Business Practice Location Address
First Line : 6500 HARRIS PKWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4136
Country : US
Telephone Number : 817-263-2600
Fax Number : 817-263-5805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2010
Last Update Date : 07/29/2022

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