Individual
ALEC JESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4055 INTERNATIONAL PLZ, FORT WORTH, TX 76109-4874
(817) 257-6633
Mailing address
TCU BOX 297085, FORT WORTH, TX 76129-0001
(817) 257-6633
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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