Provider Demographics
NPI:1548586084
Name:JEZARI, ANNA MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARGARET
Last Name:JEZARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:WAREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1300 MURCHISON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4800
Mailing Address - Country:US
Mailing Address - Phone:915-577-9090
Mailing Address - Fax:915-577-9092
Practice Address - Street 1:1300 MURCHISON DR STE 100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4800
Practice Address - Country:US
Practice Address - Phone:915-577-9090
Practice Address - Fax:915-577-9092
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1995207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology