Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | Q0268 | TX |
NPI | 1265799555 |
---|---|
Provider Name | Dr. Katherine Hall Jelliffe |
First Address | Dallas, TX 75373-3784 |
Second Address | Abilene, TX 79601-2431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2012 |
Last Update Date | 05/08/2021 |