Dejecacion, Jodie Peden

Dejecacion, Jodie Peden is an individual health care provider with primary practice located at 9255 Dallas Pkwy Ste 110 , Frisco TX 75033-4211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dejecacion, Jodie Peden can be contacted via phone (972) 377-1490.

Contact Information

Primary practice address
9255 Dallas Pkwy Ste 110 Frisco TX 75033-4211
Phone: (972) 377-1490
Fax: (972) 377-1499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M0053 Texas

Profile Details

NPI number 1487692067
LBN Legal business name Dejecacion, Jodie Peden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487692067 NPPES
Texas MEDICAID 176748501
Texas Other 176748502

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