Organization
RICHARD D. JELSMA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JELSMA MD (ORTHOPEDIC SURGEON)
(903) 868-8800
Entity
Organization
Contact information
Practice address
425 N HIGHLAND AVE, SUITE 110, SHERMAN, TX 75092-7377
(903) 868-8800
(903) 868-4405
Mailing address
425 N HIGHLAND AVE, SUITE 110, SHERMAN, TX 75092-7377
(903) 868-8800
(903) 868-4405
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J8284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067RA
BLUE CROSS BLUE SHIELD
TX
05
—
170862001
—
TX
01
—
DG5309
RAIL ROAD MEDICARE PTAN
TX
Enumeration date
05/03/2007
Last updated
05/01/2008
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