Mooney, Jennifer L.

Mooney, Jennifer L. is an individual health care provider with primary practice located at 2710 Swiss Ave , Dallas TX 75204-5900. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Mooney, Jennifer L. can be contacted via phone (148) 211-5992.

Contact Information

Primary practice address
2710 Swiss Ave Dallas TX 75204-5900
Phone: (148) 211-5992
Fax: (214) 821-8985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 205553 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X N7301 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 205553 Louisiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X N7301 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X N7301 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 205553 Louisiana

Profile Details

NPI number 1861696643
LBN Legal business name Mooney, Jennifer L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Oct 23rd, 2018 - about 6 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 1861696643 NPPES
Louisiana MEDICAID 2304178

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