Jean L Seignon, P.A.-C
Physician Assistant in Fort Worth, TX. Individual provider (NPI-1).
NPI number1982808531
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1982808531
- Entity type
- Individual (NPI-1)
- Name
- Jean L Seignon
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2007
- Certification date
- Feb 15, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA05229 | TX | Yes |
Practice location
4701 Boat Club Rd., Suite 200Fort Worth, TX 76135-5285
Phone 817-237-0515
Mailing address
4701 Boat Club Rd., Suite 200Fort Worth, TX 76135-5285
Phone 817-237-0515
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