Healthcare Provider Details

I. General information

NPI: 1396867511
Provider Name (Legal Business Name): JENNIFER B SYMMANK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER B SAURETTE MD

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S LOOP 256 STE 200
PALESTINE TX
75801-6913
US

IV. Provider business mailing address

1910 ROSELAND BLVD
TYLER TX
75701-4246
US

V. Phone/Fax

Practice location:
  • Phone: 903-723-0330
  • Fax: 903-729-6674
Mailing address:
  • Phone: 903-533-0644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM5485
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: