Provider Demographics
NPI:1740331339
Name:PLUBELL, JAMIE A (DO)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:A
Last Name:PLUBELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:A
Other - Last Name:PLUBELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:15768 SHASTA DAISY RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1480
Mailing Address - Country:US
Mailing Address - Phone:469-312-7777
Mailing Address - Fax:
Practice Address - Street 1:330 S DENTON TAP RD
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-3207
Practice Address - Country:US
Practice Address - Phone:469-312-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-33485207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine