Provider Demographics
NPI:1932411683
Name:HECHT, JENNIFER ANNA LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANNA LEE
Last Name:HECHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANNA LEE
Other - Last Name:SNOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:6500 HARRIS PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4136
Practice Address - Country:US
Practice Address - Phone:817-263-2600
Practice Address - Fax:817-263-5805
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4699208600000X, 2086X0206X
OK4961208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346765603Medicaid
TX346765601Medicaid
TXP01768696OtherRAILROAD
TX346765601Medicaid
TX417883YTU3Medicare PIN
TX417883YKYCMedicare PIN