JEFFREY JESSADA LERTDILOK

CARROLLTON, TX
NPI1720621071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP142915)
Enumeration Date2019-10-18
Last Update Date2019-10-18
Business Address
JEFFREY JESSADA LERTDILOK FNP-C
4100 FAIRWAY DR STE 320
CARROLLTON, TX 75010-6537
Phone number: 972-236-7608
Mailing Address
JEFFREY JESSADA LERTDILOK FNP-C
4132 CATAWBA AVE
CARROLLTON, TX 75010-1196
Phone number: 972-746-8250