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Mrs. Jacqueline Denise Anderson, SURGICALASSISTANT
Contractor in Palestine, Texas
NPI 1205903424

Jacqueline Denise Anderson is a Contractor based in Palestine, TX. Jacqueline Denise Anderson practices in Palestine, TX and has the professional credentials of SURGICALASSISTANT. The NPI Number for Jacqueline Denise Anderson is 1205903424 and holds a License No. SA00028 (Texas).

The current practice location address for Jacqueline Denise Anderson is 640 Acr 3593, Palestine, TX and can be reached out via phone at 903-729-1518 and via fax at 903-389-4237.

Location: 640 Acr 3593, Palestine, TX, 75803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205903424
Provider Name
Jacqueline Denise Anderson
Credential
SURGICALASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
640 Acr 3593, Palestine, TX, 75803
Phone Number
903-729-1518
Fax Number
903-389-4237
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0067JR 01 TX BCBS ID
institution
Provider Business Practice Location Address Details
Address
640 Acr 3593
City
Palestine
State
Texas
Zip
75803
Phone Number
903-729-1518
Fax Number
903-389-4237
person
Provider Business Mailing Address Details
Address
640 Acr 3593
City
Palestine
State
Texas
Zip
75803
Phone Number
903-729-1518
Fax Number
903-389-4237
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
SA00028 (Texas)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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