Individual
RONALD JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(817) 329-2502
Mailing address
PO BOX 13587, PHILADELPHIA, PA 19101-3587
(800) 355-0808
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M1797
TX
Other
Enumeration date
06/05/2006
Last updated
08/05/2009
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