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Contact Information

JODIE P DEJECACION, MD
9255 DALLAS PKWY STE 110
FRISCO, TX75033-4211
 Phone: 972-377-1490
 Fax: 972-377-1499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JODIE P DEJECACION · (Female)

NPI Number 1487692067
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 11/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M0053
  • TX Medicaid 176748501
  • TX Other 176748502 MEDICAID OTHER
Hospital affiliation(s)
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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