Provider Demographics
NPI:1225131089
Name:SAFFRAN-SEDACCA, JILL M ((MD))
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:M
Last Name:SAFFRAN-SEDACCA
Suffix:
Gender:F
Credentials:(MD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9540 GARLAND RD
Mailing Address - Street 2:STE 410
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-5004
Mailing Address - Country:US
Mailing Address - Phone:469-804-3507
Mailing Address - Fax:214-660-8950
Practice Address - Street 1:9540 GARLAND RD
Practice Address - Street 2:STE 410
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-5004
Practice Address - Country:US
Practice Address - Phone:469-804-3507
Practice Address - Fax:214-660-8950
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9318208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics