Dr. Maria Audrie De Jesus
Neurologist Neuromusculoskeletal Medicine (NMM)
500 Throckmorton Street Unit 3309
Fort Worth
, Texas 76102
Dr. Maria Audrie De Jesus
Neurologist Neuromusculoskeletal Medicine (NMM)
500 Throckmorton Street Unit 3309
Fort Worth
, Texas 76102
(434) 277-2772
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Maria Audrie De Jesus
- 13330 Noel Road Apt 338
- Dallas, TX
- Zip : 75240
- Fax : (434) 277-2772
- Phone : (914) 255-0294
Second Address
- Dr. Maria Audrie De Jesus
- 500 Throckmorton Street Unit 3309
- Fort Worth, TX
- Zip : 76102
- Fax : (817) 885-7339
- Phone : (817) 908-8124
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | P4641 | TX |
| Y | 2084N0400X | Neurologist | P4641 | TX |
National Provider Identifier
| NPI | 1336176387 |
|---|---|
| Provider Name | Dr. Maria Audrie De Jesus |
| First Address | Dallas, TX 75240 |
| Second Address | Fort Worth, TX 76102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 03/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01872586 | (05) | NY |
| 030440476DE02 | CARE PLUS (01) | NY |
| 206602 | HIP HEALTH PLAN OF NY (01) | NY |
| 214811 | (02) | |
| 2399196 | UNITED HEALTHCARE (01) | NY |
| 30440476 | MAGNACARE (01) | NY |
| 3099038 | GHI HEALTH PLANS (01) | NC |
| 3283244 07 | (05) | TX |
| 4C9461 | HEALTH NET (01) | NY |
| 53N521 | EMPIRE BCBS (01) | NY |
| 7745380 | CIGNA HEALTHCARE (01) | NY |
| 902408901 | AMERICHOICE (01) | NY |
| DM6602 | ATLANTIS BEHAVIORAL HEALT (01) | NY |
| G53252 | (02) | NY |
| P3241805 | OXFORD (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.