Most Relevant Information
Provider Data
| NPI Number: | 1003486226 |
| Provider Name: | JAIMIE ANN STORY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA14727 |
Most Important Dates
| Enumeration Date: | 06/29/2021 |
| Last Updated: | 06/29/2021 |
Provider Practice Location
6900 HARRIS PKWY STE 310
FORT WORTH
TX
761324261
Practice Location Phone/Fax
| Phone: | 8173755200 |
| Fax: |
Provider Mailing Location
800 ORTHOPEDIC WAY
ARLINGTON
TX
760151629
Provider Mailing Phone/Fax
| Phone: | 8173755200 |
| Fax: |