Jessica Derx Llc | |
746 Colonel Dr Suite Ii B Garland TX 75043-2369 | |
(214) 901-7709 | |
Not Available |
Full Name | Jessica Derx Llc |
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Speciality | Social Worker - Clinical |
Location | 746 Colonel Dr, Garland, Texas |
Authorized Official Name and Position | Jessica Derx (THERAPIST) |
Authorized Official Contact | 2149017709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jessica Derx Llc Po Box 830354 Richardson TX 75083-0354 Ph: () - | Jessica Derx Llc 746 Colonel Dr Suite Ii B Garland TX 75043-2369 Ph: (214) 901-7709 |
NPI Number | 1144638867 |
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Provider Enumeration Date | 07/25/2014 |
Last Update Date | 07/25/2014 |
Identifier | Type | State | Issuer |
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1144638867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 52081 (Texas) | Primary |
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