| John Dejesus, | |
|
921 Shiloh Rd, Suite C-120, Tyler, TX 75703-1431 | |
| (903) 838-7604 | |
| (817) 789-6849 |
| Full Name | John Dejesus |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 921 Shiloh Rd, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962745497 | NPI | - | NPPES |
| 207164901 | Medicaid | TX | |
| 149984001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 111213 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Dejesus, 305 Ne Loop 820, Business Tower 1; Suite 200, Hurst, TX 76053-7209 Ph: (817) 292-8787 | John Dejesus, 921 Shiloh Rd, Suite C-120, Tyler, TX 75703-1431 Ph: (903) 838-7604 |
Kimberly Westbrook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Ste. 800, Tyler, TX 75703 Phone: 903-939-2800 | |
Mary Paige Woodfin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Suite 800, Tyler, TX 75703 Phone: 903-939-2800 Fax: 817-789-6849 | |
Samantha A Minten, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1204 S Vine Ave, Tyler, TX 75701 Phone: 903-508-9696 | |
Jamie Nutt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5181 Elaine Dr, Tyler, TX 75703 Phone: 409-739-5992 | |
Nicole Rene Wiggins, OTR, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St, Tyler, TX 75702 Phone: 903-531-2581 | |
Joseph Clinton Staples, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3161 | |
Patricia Shaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858 |