Individual
JEFFRY ANDRESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 MONTE VISTA DR, DALLAS, TX 75223-1239
(214) 320-2548
Mailing address
503 MONTE VISTA DR, DALLAS, TX 75223-1239
(214) 320-2548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H9734
TX
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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