Jennifer Athyala

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Midland, TX

NPI 1093548679 · NPPES record last updated Aug 21, 2024

Key facts

NPI
1093548679
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3600 N Garfield St
Midland, TX 79705-6329
Phone
(432) 230-7863
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3600 N Garfield St
Midland, TX 79705-6329

Mailing address

3600 N Garfield St
Midland, TX 79705-6329

Other providers in Midland, TX

All providers in Midland, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.