Provider Demographics
NPI:1336836568
Name:AUCES, JASMINE Y
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:Y
Last Name:AUCES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14317 W PINE HEART DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-2019
Mailing Address - Country:US
Mailing Address - Phone:346-533-9790
Mailing Address - Fax:
Practice Address - Street 1:14317 W PINE HEART DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-2019
Practice Address - Country:US
Practice Address - Phone:346-533-9790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver