Individual
DR. ADRIAN CRAIG JESSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1407 N. UNIVERSITY DR, STE C, NACOGDOCHES, TX 75961
(936) 462-7575
(936) 462-7274
Mailing address
2498 COUNTY ROAD 411, NACOGDOCHES, TX 75961-7614
(936) 462-7575
(936) 462-7274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J5360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1258667-05
—
TX
05
—
1258667-07
—
TX
Enumeration date
04/26/2006
Last updated
05/24/2018
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