| Jennifer R Thorne Pa | |
|
8300 Precinct Line Rd Ste 100 Colleyville TX 76034-8242 | |
| (817) 281-4300 | |
| Not Available |
| Full Name | Jennifer R Thorne Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8300 Precinct Line Rd Ste 100, Colleyville, Texas |
| Authorized Official Name and Position | Jennifer R Thorne (OWNER) |
| Authorized Official Contact | 8172814300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer R Thorne Pa 8300 Precinct Line Rd Ste 100 Colleyville TX 76034-8242 Ph: (817) 281-4300 | Jennifer R Thorne Pa 8300 Precinct Line Rd Ste 100 Colleyville TX 76034-8242 Ph: (817) 281-4300 |
| NPI Number | 1952878357 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952878357 | NPI | - | NPPES |
| 1023149374 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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