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Individual
DR. ROBERT H. JESSEN
Active
Individual
DR. ROBERT H. JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L2955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045971
INDIANA LICENSE
IN
05
—
121679801
—
TX
05
—
121679802
—
TX
05
—
121679805
—
TX
05
—
157946801
—
TX
05
—
157946802
—
TX
01
—
20090
OKLAHOMA LICENSE
OK
01
—
D0125750
DPS
TX
Enumeration date
09/20/2006
Last updated
03/07/2023
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