Broderick-Thomas, Jenifer Arlene

Broderick-Thomas, Jenifer Arlene is an individual health care provider with primary practice located at 6300 W Parker Rd Ste 325, Plano TX 75093-8103. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Broderick-Thomas, Jenifer Arlene can be contacted via phone (972) 981-8088.

Contact Information

Primary practice address
6300 W Parker Rd Ste 325 Plano TX 75093-8103
Phone: (972) 981-8088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K4001 Texas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X K4001 Texas
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X K4001 Texas
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X K4001 Texas

Profile Details

NPI number 1457357279
LBN Legal business name Broderick-Thomas, Jenifer Arlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated May 15th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457357279 NPPES
Texas Other 8M0810 BCBS

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