| Jennifer L Motley, MD | |
|
6743 I 30 West, Ste 203, Royse City, TX 75189-3900 | |
| (469) 707-6190 | |
| (469) 707-6149 |
| Full Name | Jennifer L Motley |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 6743 I 30 West, Ste 203, Royse City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073530689 | NPI | - | NPPES |
| P00247387 | Other | RAILROAD MEDICARE | |
| 163673001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | L7491 (Texas) | Primary |
| 207V00000X | Obstetrics & Gynecology | TL6447 (Wyoming) | Secondary |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Entity Name | Hunt Regional Medical Partners Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275031205 PECOS PAC ID: 7810226115 Enrollment ID: O20190912000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Motley, MD 501 Air Park Ave, Greenville, TX 75402-3000 Ph: (903) 408-5834 | Jennifer L Motley, MD 6743 I 30 West, Ste 203, Royse City, TX 75189-3900 Ph: (469) 707-6190 |
Ashton Hunter Hierholzer, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 6743 I 30 E Ste 203, Royse City, TX 75189 Phone: 469-707-6190 Fax: 469-707-6199 |