Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer a Hathaway DDS PA

Organization Customized Equipment (DME) · NPI 1972139764

Jennifer a Hathaway DDS PA is a Customized Equipment (DME) in Bryan, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1719 Broadmoor Dr
Bryan, TX 77802-5210
Phone: (979) 776-6884
Fax: (979) 774-3008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1972139764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stevie Fester — Practice Manager · (979) 776-6884
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address1719 Broadmoor Dr, Bryan, TX 77802-5210

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