| Jenna Logan Davison, PA | |
|
7801 Oakmont Blvd, Ste 101, Ft Worth, TX 76132-4204 | |
| (817) 263-0007 | |
| (817) 263-1118 |
| Full Name | Jenna Logan Davison |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7801 Oakmont Blvd, Ft Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417293960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA08103 (Texas) | Primary |
| Entity Name | Darren Lackan MD, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871639757 PECOS PAC ID: 4082701982 Enrollment ID: O20071025000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Logan Davison, PA 7801 Oakmont Blvd, Ste 101, Ft Worth, TX 76132-4204 Ph: (817) 263-0007 | Jenna Logan Davison, PA 7801 Oakmont Blvd, Ste 101, Ft Worth, TX 76132-4204 Ph: (817) 263-0007 |
Kevin Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Mistletoe Blvd Ste 200, Ft Worth, TX 76104 Phone: 817-878-5333 |
Carolyn R Telford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2931 Oak Park Cir, Ft Worth, TX 76109 Phone: 817-924-3000 Fax: 817-924-3010 |
Lindsay Pate, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 12th Ave, Suite 300, Ft Worth, TX 76104 Phone: 817-877-1118 Fax: 817-877-5317 |
Andrew Lavear, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4055 International Plz Ste 660, Ft Worth, TX 76109 Phone: 817-592-8427 |
Sunita Kaur Nagi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3109 6th Ave Ste B, Ft Worth, TX 76110 Phone: 682-312-7339 Fax: 817-288-0958 |
Lisa Weber Zimmerer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7367 N Beach St, Ft Worth, TX 76137 Phone: 682-204-0042 |
Melanie Littlejohn, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Pennsylvania Ave, Ft Worth, TX 76104 Phone: 214-850-2615 |