Worsham, Jesse Lee

Worsham, Jesse Lee is an sole proprietor health care provider with primary practice located at 211 E Southlake Blvd Ste 107 , Southlake TX 76092-6274. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Worsham, Jesse Lee can be contacted via phone (817) 670-3857.

Contact Information

Primary practice address
211 E Southlake Blvd Ste 107 Southlake TX 76092-6274
Phone: (817) 670-3857
Fax: (817) 259-2669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X T5701 Texas

Profile Details

NPI number 1194216663
LBN Legal business name Worsham, Jesse Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2018
Last updated Apr 12th, 2024 - about 8 months 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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