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NPI Code Detail

MEDICARE: JESSICA PRYOR M.D.

MEDICARE:   JESSICA  PRYOR  M.D.
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
1208000000XPediatrics Physician2011035311MO
2208000000XPediatrics PhysicianW0708TX

General Provider Information

NPI Number : 1609154798
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA PRYOR M.D.
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 469-626-8512
Fax Number : 214-645-0078
Provider Business Practice Location Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number : 214-456-0488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2011
Last Update Date : 04/30/2026

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Directions to “ JESSICA PRYOR M.D.” Practice Location

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