Provider Demographics
NPI:1912519398
Name:CALLAHAN, JAMIE PATRICE (PA)
Entity type:Individual
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First Name:JAMIE
Middle Name:PATRICE
Last Name:CALLAHAN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:9330 LBJ FWY STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4310
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:214-506-1170
Practice Address - Street 1:12720 HILLCREST RD STE 725
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7110
Practice Address - Country:US
Practice Address - Phone:972-566-8899
Practice Address - Fax:972-566-5775
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2024-09-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant