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Jessica Licea
NPI 1508623273 · on the registry since 2024
Practice
- Address
- 510 N Hewitt Dr
Hewitt, TX 76643 - Phone
- (254) 420-5000
- Fax
- (254) 420-5007
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas