Jennifer A Hathaway Dds Pa
Customized Equipment
1719 Broadmoor Dr, Bryan
Texas, 77802-5210
979-776-6884 979-774-3008
Jennifer A Hathaway Dds Pa is a Customized Equipment in Bryan, Texas. It is located at 1719 Broadmoor Dr, Bryan and it's customer support contact number is 979-776-6884. The authorized person of Jennifer A Hathaway Dds Pa is Mrs. Stevie Fester, RDA who is Practice Manager of this DME and her contact number is 979-776-6884. Jennifer A Hathaway Dds Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jennifer A Hathaway Dds Pa is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Jennifer A Hathaway Dds Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Jennifer A Hathaway Dds Pa |
| Type: | Customized Equipment |
| Location: | 1719 Broadmoor Dr, Bryan,
Texas, 77802-5210 |
| Phone: | 979-776-6884 |
| Fax: | 979-774-3008 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Stevie Fester |
| Credentials: | RDA |
| Position: | Practice Manager |
| Contact Number: | 979-776-6884 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1972139764 |
| NPI Enumeration Date: | 12 Mar, 2020 |
| NPI Last Update On: | 21 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer A Hathaway Dds Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | | | Primary | |
Medicare Enrollment:
Jennifer A Hathaway Dds Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1759705890 | O20200722000196 | Jennifer A Hathaway Dds Pa | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1719 Broadmoor Dr,
Bryan, Texas |
| Zip: | 77802-5210 |
| Phone Number: | 979-776-6884 |
| Fax Number: | 979-774-3008 |
Patients can reach Jennifer A Hathaway Dds Pa at
1719 Broadmoor Dr, Bryan, Texas or can
call on customer care at 979-776-6884.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.