Individual
DR. MARIA AUDRIE DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 THROCKMORTON STREET, UNIT 3309, FORT WORTH, TX 76102
(817) 908-8124
(817) 885-7339
Mailing address
13330 NOEL ROAD, APT 338, DALLAS, TX 75240
(914) 255-0294
(434) 277-2772
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P4641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872586
—
NY
01
—
030440476DE02
CARE PLUS
NY
01
—
206602
HIP HEALTH PLAN OF NY
NY
01
—
2399196
UNITED HEALTHCARE
NY
01
—
30440476
MAGNACARE
NY
01
—
3099038
GHI HEALTH PLANS
NC
05
—
3283244 07
—
TX
01
—
4C9461
HEALTH NET
NY
01
—
53N521
EMPIRE BCBS
NY
01
—
7745380
CIGNA HEALTHCARE
NY
01
—
902408901
AMERICHOICE
NY
01
—
DM6602
ATLANTIS BEHAVIORAL HEALT
NY
01
—
P3241805
OXFORD
NY
Enumeration date
06/26/2006
Last updated
05/07/2025
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