Provider Demographics
NPI:1134437056
Name:ZACHARIAS, JAMIE FORD
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:FORD
Last Name:ZACHARIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 E. STATE HWY 121
Mailing Address - Street 2:SUITE 600 CARE NOW CORPORATE
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019
Mailing Address - Country:US
Mailing Address - Phone:972-745-7500
Mailing Address - Fax:972-745-4376
Practice Address - Street 1:5501 MONTCLAIR DR
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5028
Practice Address - Country:US
Practice Address - Phone:817-689-9367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77209363LF0000X
TXAP119216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily