Organization
JAXEN MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ADRIA PODINA (MANAGING PARTNER)
(972) 533-0490
Entity
Organization
Contact information
Practice address
802 YORK DR, ROCKWALL, TX 75087-7191
(972) 533-0490
Mailing address
802 YORK DR, ROCKWALL, TX 75087-7191
(972) 533-0490
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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