MEDICARE: JESSICA LEE HESS P.A.

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
1	363A00000X	Physician Assistant	PA03225	TX

General Provider Information

NPI Number	:	1033145693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LEE HESS P.A.

Provider Business Mailing Address
First Line	:	6020 W PARKER RD STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8172
Country	:	US
Telephone Number	:	972-473-3947
Fax Number	:	972-608-5020

Provider Business Practice Location Address
First Line	:	6020 W PARKER RD
Second Line	:	SUITE 200
City	:	PLANO
State	:	TX
Zip	:	75093-8171
Country	:	US
Telephone Number	:	972-608-5000
Fax Number	:	972-608-5020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	03/07/2023

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