Individual
JEFFREY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-8596
(214) 559-7808
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
H8583
TX
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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