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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063717551

Dr. Jennifer Shuler Deramo, MD is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7208
Phone: (214) 456-7000
Fax: (214) 456-8132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence Q5996 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063717551
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 14, 2011
Last updated in NPPESSeptember 17, 2016

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