Provider Demographics
NPI:1700758430
Name:STEELE, JASMINE (CPT, CPCT/A)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:STEELE
Suffix:
Gender:F
Credentials:CPT, CPCT/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 RUIDOSO DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-2403
Mailing Address - Country:US
Mailing Address - Phone:808-725-7107
Mailing Address - Fax:
Practice Address - Street 1:8401 WEST FWY # 212
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-3104
Practice Address - Country:US
Practice Address - Phone:808-725-7107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6G6E9A33747P1801X
TXN24109804246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant