MEDICARE: JENNIFER ANN DENNING M.D., F.A.C.O.G.

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	207V00000X	Obstetrics & Gynecology Physician	L6351	TX

General Provider Information

NPI Number	:	1124020003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN DENNING M.D., F.A.C.O.G.

Provider Business Mailing Address
First Line	:	6301 GASTON AVE
Second Line	:	SUITE 370
City	:	DALLAS
State	:	TX
Zip	:	75214-3922
Country	:	US
Telephone Number	:	214-624-9674
Fax Number	:	469-334-0613

Provider Business Practice Location Address
First Line	:	6301 GASTON AVE
Second Line	:	SUITE 370
City	:	DALLAS
State	:	TX
Zip	:	75214-3922
Country	:	US
Telephone Number	:	214-624-9674
Fax Number	:	469-334-0613

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/04/2014

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