Conway, Jill K.

Conway, Jill K. is an individual health care provider with primary practice located at 5939 Harry Hines Blvd Suite 400, Mail Code 9191, Dallas TX 75390-9191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Conway, Jill K. can be contacted via phone (214) 645-2422.

Contact Information

Primary practice address
5939 Harry Hines Blvd Suite 400, Mail Code 9191 Dallas TX 75390-9191
Phone: (214) 645-2422
Fax: (214) 645-2420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04440 Texas

Profile Details

NPI number 1255308656
LBN Legal business name Conway, Jill K.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 4th, 2011 - about 13 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 1255308656 NPPES
Texas MEDICAID 180843801
Texas Other 8N9852

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