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1811996663

NPI Code Detail

MEDICARE: DR. ALTHEA KAY JARRETT MD

MEDICARE: DR. ALTHEA KAY JARRETT MD

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	208000000X	Pediatrics Physician	L0830	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811996663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALTHEA KAY JARRETT MD

Provider Business Mailing Address
First Line	:	2222 WELBORN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3924
Country	:	US
Telephone Number	:	214-559-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 WELBORN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3924
Country	:	US
Telephone Number	:	214-559-5000
Fax Number	:

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	04/09/2024

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Directions to “ DR. ALTHEA KAY JARRETT MD” Practice Location

Language	Start Address	Practice Location

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