Individual
DR. ANDREW MICHAEL JEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 E INTERSTATE 20 SERVICE RD S, WILLOW PARK, TX 76008-5115
(877) 614-8990
Mailing address
5700 E INTERSTATE 20 SERVICE RD S, WILLOW PARK, TX 76008-5115
(877) 614-8990
(833) 794-3342
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
T0248
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2015
Last updated
09/15/2021
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