Individual
JAHI KASHKA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 770-1032
Mailing address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 770-1032
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD438403
PA
2084P0800X
Psychiatry Physician
Primary
N5533
TX
283Q00000X
Psychiatric Hospital
N5533
TX
Other
Enumeration date
09/20/2009
Last updated
12/05/2025
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