Individual provider · Type 1 NPI
Edith Mercedes De Jesus, MD
Specialist · Tulsa, OK
NPI number
1497281802
Active
Practice location
10711 E 11th St, Suite 1
Tulsa, OK 74128-3200
Fax (918) 583-7205
Mailing address
10711 E 11th St Ste 1, Xavier Clinic
Tulsa, OK 74128-3212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 18702 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
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- Kayla Unruh, DPTSpecialist Tulsa, OK NPI 1114460649
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About NPI 1497281802
Edith Mercedes De Jesus, MD's National Provider Identifier is 1497281802, issued on May 4, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tulsa, OK. The record was last updated on May 4, 2017.