NPI 1023707916

Alaina Jacks, CAA

Practitioner Anesthesiologist Assistant Dallas, TX

Practice location

Address: 12222 Merit Dr STE 600, Dallas, TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Mailing address: PO Box 840853, Dallas, TX 75284-0853

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023707916
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2023
Record last updated: 2 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.