Peggy P. Jarvis
Nurse Practitioner - Women's Health
5201 Harry Hines Blvd Wish Tubal Clinic
Dallas
, Texas 75235-7708
Peggy P. Jarvis
Nurse Practitioner - Women's Health
5201 Harry Hines Blvd Wish Tubal Clinic
Dallas
, Texas 75235-7708
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Peggy P. Jarvis
- Po Box 660599
- Dallas, TX
- Zip : 75266-0599
- Phone :
Second Address
- Peggy P. Jarvis
- 5201 Harry Hines Blvd Wish Tubal Clinic
- Dallas, TX
- Zip : 75235-7708
- Fax : (214) 590-2798
- Phone : (214) 590-5306
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 246240 | TX |
National Provider Identifier
| NPI | 1033119235 |
|---|---|
| Provider Name | Peggy P. Jarvis |
| First Address | Dallas, TX 75266-0599 |
| Second Address | Dallas, TX 75235-7708 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 27/03/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041564802 | (05) | TX |
| 041564803 | (05) | TX |
| 041564804 | (05) | TX |
| 041564805 | (05) | TX |
| 041564806 | (05) | TX |
| 041564807 | (05) | TX |
| 041564808 | (05) | TX |
| 041564809 | (05) | TX |
| 041564810 | (05) | TX |
| 041564811 | (05) | TX |
| 041564812 | (05) | TX |
| 041564813 | (05) | TX |
| 8N4798 | BLUE CROSS BLUE SHIELD (01) | TX |
| S81424 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.