Individual provider · Type 1 NPI

Jordan Ashley Essenburg

Adult Medicine Physician · Dallas, TX

NPI number 1164180477 Active

Practice location

12201 Merit Dr Ste 180
Dallas, TX 75251-3124

Call (972) 385-9700 Map

Mailing address

3435 Dickason Ave Apt 2319
Dallas, TX 75219-4976

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X1059033 (TX)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1164180477

Jordan Ashley Essenburg's National Provider Identifier is 1164180477, issued on Dec 3, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Dallas, TX. The record was last updated on Dec 3, 2021.