Individual
JEFFREY SORELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5253 HARRY HINES BLVD, UT SOUTHWESTERN MEDICAL CENTER, DALLAS, TX 75235-7708
(254) 723-3219
Mailing address
5253 HARRY HINES BLVD, UT SOUTHWESTERN MEDICAL CENTER, DALLAS, TX 75235-7708
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
S4396
TX
208000000X
Pediatrics Physician
S4396
TX
2085P0229X
Pediatric Radiology Physician
K5474
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
10/04/2022
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