Healthcare Provider Details

I. General information

NPI: 1437300324
Provider Name (Legal Business Name): JONI R POWE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JONI R BROWN PA

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 INWOOD RD DEPT OF ORTHOPEDICS SUITE WA4.300
DALLAS TX
75390-2553
US

IV. Provider business mailing address

PO BOX 99335
FORT WORTH TX
76199-0335
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-3300
  • Fax: 214-645-3301
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPENDING
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA06342
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: