Individual
DR. JESSE CHRIST RAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-9570
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
273836
MA
2085R0202X
Diagnostic Radiology Physician
Primary
R0939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110134735A
—
MA
Enumeration date
04/17/2013
Last updated
06/16/2020
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