Individual
DR. JEFFREY L. WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3136 HORIZON RD STE 100, ROCKWALL, TX 75032-7808
(972) 475-8914
(855) 364-4959
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J9431
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
J9431
TX
208VP0014X
Interventional Pain Medicine Physician
J9431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123904804
—
TX
05
—
123904805
—
TX
05
—
123904806
—
TX
01
—
8G7052
BCBS
TX
Enumeration date
12/22/2005
Last updated
05/07/2026
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