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NPI Code Detail

MEDICARE: AMELIA R. JOSSERAND PA-C

MEDICARE: AMELIA R. JOSSERAND PA-C
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
1363A00000XPhysician AssistantPA13009TX
2363A00000XPhysician Assistant2209NE

General Provider Information

NPI Number : 1730688227
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA R. JOSSERAND PA-C
Provider Business Mailing Address
First Line : 5224 75TH ST STE D
Second Line :
City : LUBBOCK
State : TX
Zip : 79424-2525
Country : US
Telephone Number : 806-712-1096
Fax Number : 806-771-2093
Provider Business Practice Location Address
First Line : 10777 WESTHEIMER RD STE 1100
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3462
Country : US
Telephone Number : 877-878-3289
Fax Number : 877-817-3227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2018
Last Update Date : 09/25/2025

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