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Jesse Dishaw
NPI 1932593647 · on the registry since 2015
Practice
- Address
- 14590 Midway Rd Ste 100
Dallas, TX 75244 - Phone
- (972) 510-7707
- Fax
- (972) 767-0071
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas