Jessela D. Tan, M.d., P.l.l.c.

NPI #1841451481 in Rowlett, Texas

Provider Information

NPI Number: 1841451481
Entity Type: Organization
Organization Name: Jessela D. Tan, M.d., P.l.l.c.
Primary Specialty: Family Medicine
Enumeration Date: Jun 17, 2008
Last Updated: Sep 24, 2010

Practice Location

Address: 7501 LAKEVIEW PKWY
Address 2: SUITE 140
City: Rowlett
State: Texas
ZIP Code: 75088-9322
Phone: (972) 526-7500

Authorized Official

Name: JESSELA D. TAN, M.D.
Title: PRESIDENT
Phone: (214) 703-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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