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Contact Information

JACQUELINE B STREET, PA-C
4708 ALLIANCE BLVD STE 750
PLANO, TX75093-5354
 Phone: 972-562-5999
 Fax: 972-562-9755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACQUELINE B STREET · (Female)

NPI # 1255870226
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/23/2017
Last updated 12/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA11198
  • TX Medicaid 368884801
  • TX Other P01833670 RAILROAD
Hospital affiliation(s)
  • BAYLOR MEDICAL CENTER AT MCKINNEY - (Acute Care)
    5252 WEST UNIVERSITY DRIVE
    MC KINNEY, TX 75071
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
  • UT SOUTHWESTERN UNIVERSITY HOSPITAL - (Acute Care)
    5909 HARRY HINES BLVD
    DALLAS, TX 75390
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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