Provider Demographics
NPI:1932767910
Name:SINGH, JASLEEN KAUR (MD)
Entity Type:Individual
Prefix:
First Name:JASLEEN
Middle Name:KAUR
Last Name:SINGH
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 1:406 E STATE HIGHWAY 243
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103-2409
Mailing Address - Country:US
Mailing Address - Phone:903-567-4784
Mailing Address - Fax:903-567-4996
Practice Address - Street 1:406 E STATE HIGHWAY 243
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103-2409
Practice Address - Country:US
Practice Address - Phone:903-567-4784
Practice Address - Fax:903-567-4996
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT8054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program