Jennifer D Decker, PA-C
Physician Assistant in Round Rock, TX. Individual provider (NPI-1).
NPI number1518201284
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1518201284
- Entity type
- Individual (NPI-1)
- Name
- Jennifer D Decker
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2012
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 52054 | MT | Yes |
| 363A00000X | Physician Assistant | PA14935 | TX |
Practice location
300 University BlvdRound Rock, TX 78665-1032
Phone 254-724-1111
Mailing address
Po Box 844658Dallas, TX 75284-4658
Phone 254-724-2111
Other practice locations
1101 26th St S Fl 5
Great Falls, MT 59405-5161
Great Falls, MT 59405-5161
Phone 406-731-8888 · Fax 406-731-8876
703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Tyler, TX 75701-2015
Phone 903-525-2992
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