Individual
DR. JARED D. STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 W ROYAL LN, IRVING, TX 75063-3213
(469) 513-5500
(469) 420-9600
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
4301104721
MI
2085R0001X
Radiation Oncology Physician
Primary
N9966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200737480A
—
TX
05
—
348946001
—
TX
05
—
348946002
—
TX
05
—
348946003
—
TX
01
—
P01667440
RAILROAD
TX
Enumeration date
10/17/2008
Last updated
12/15/2017
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