Individual provider · Type 1 NPI

Jeremy Thomas Diver, PA-C

Medical Physician Assistant · Hurst, TX

NPI number 1679913354 Active

About NPI 1679913354

Jeremy Thomas Diver, PA-C's National Provider Identifier is 1679913354, issued on Jun 26, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hurst, TX. The record was last updated on Nov 8, 2022.