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

TaxonomyCodeLicense
Specialist Primary 174400000X18702 (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.

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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.