JESSELA D. TAN, M.D., P.L.L.C.
Marriage and Family Therapists at Lakeview Pkwy, Rowlett, TX

License number
Texas M4580
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: JESSELA D. TAN M.D.
Title: PRESIDENT
Phone: (214) 703-1900
Address
Address 2
7501 Lakeview Pkwy SUITE 140, Rowlett, TX 75088
3523 Mckinney Ave #735, Dallas, TX 75204
National Provider ID: 1841451481
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JESSELA D. TAN, M.D., PLLC

Dallas, TX  -  Rockwall, TX  -  Rowlett, TX

Status:
Inactive
Industry:
Dentist's Office
Doing business as:
Jessela D. Tan, M.D., Pllc<br>Sleep Essentials
Registration:
Apr 18, 2008
Addresses:
2901 Cityplace West Blvd APT 601, Dallas, TX 75204 (Mailing)
1005 W Ralph Hall Pkwy, Rockwall, TX 75032
7501 Lakeview Pkwy, Rowlett, TX 75088
3523 Mckinney Ave, Dallas, TX 75204
State ID:
0800966993
Business type:
Domestic Limited Liability Company (LLC)
MANAGING M, Member , Director, Managing Member:
Jessela D Tan MANAGING M, Member , Director, Managing Member, inactive, 7501 Lakeview Pkwy STE 140, Rowlett, TX 75088
TIN:
32036809997

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