Individual
JASON BLAIR LITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULDEVARD, DALLAS, TX 75390-9063
(214) 648-3896
(214) 456-6133
Mailing address
5323 HARRY HINES BOULDEVARD, DALLAS, TX 75390-9063
(214) 648-3896
(214) 456-6133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M7374
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AL506
BCBS
TX
Enumeration date
05/02/2007
Last updated
12/10/2008
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