Individual
MR. JESSE ASTORGA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
626 W WHEATLAND RD STE B, DUNCANVILLE, TX 75116-4588
(972) 709-6673
(972) 298-8590
Mailing address
626 W WHEATLAND RD STE B, DUNCANVILLE, TX 75116-4588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TEMP
TX
363AM0700X
Medical Physician Assistant
Primary
PA13898
TX
363AM0700X
Medical Physician Assistant
TEMP
TX
Other
Enumeration date
09/16/2020
Last updated
10/28/2020
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