Provider Demographics
NPI:1255507794
Name:DHARAMSI, JENNIFER WARNER (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:WARNER
Last Name:DHARAMSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3140 LEGACY DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:972-469-2626
Mailing Address - Fax:972-469-2818
Practice Address - Street 1:3140 LEGACY DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:972-469-2626
Practice Address - Fax:972-469-2818
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2228207N00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program