Individual
JAMES ERIC THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
5201 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75235-7708
(214) 590-8058
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M9049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026367
INSTITUTIONAL PERMIT
—
Enumeration date
05/30/2007
Last updated
10/10/2008
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