Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | MD-43650 | IA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | S7974 | TX |
NPI | 1013350289 |
---|---|
Provider Name | Dr. Jamie M Truscott |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 20/07/2021 |