Longoria, Jessica Marie

Longoria, Jessica Marie is an individual health care provider with primary practice located at 555 S International Blvd Ste B-100 , Weslaco TX 78596-9116. 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. Longoria, Jessica Marie can be contacted via phone (956) 477-1515.

Contact Information

Primary practice address
555 S International Blvd Ste B-100 Weslaco TX 78596-9116
Phone: (956) 477-1515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05888 Texas

Profile Details

NPI number 1548592579
LBN Legal business name Longoria, Jessica Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Sep 6th, 2023 - about last year

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 1548592579 NPPES
Texas MEDICAID 341036702
Texas Other 1548592579

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