Individual provider · Type 1 NPI

Jorge Ledezma, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1124238126 Active

Practice location

9550 Forest Ln, Suite 606
Dallas, TX 75243-5905

Mailing address

9550 Forest Ln Ste 606
Dallas, TX 75243-6176

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA05266 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1124238126

Jorge Ledezma, PA-C's National Provider Identifier is 1124238126, issued on May 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Oct 24, 2013.