Individual
JORDAN ASHLEY ESSENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12201 MERIT DR STE 180, DALLAS, TX 75251-3124
(972) 385-9700
Mailing address
3435 DICKASON AVE APT 2319, DALLAS, TX 75219-4976
(214) 605-9679
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1059033
TX
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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