Individual
JESSE LEE WORSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 E SOUTHLAKE BLVD STE 107, SOUTHLAKE, TX 76092-6274
(817) 670-3857
(817) 259-2669
Mailing address
211 E SOUTHLAKE BLVD STE 107, SOUTHLAKE, TX 76092-6274
(817) 670-3857
(817) 259-2669
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
T5701
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2018
Last updated
04/12/2024
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