Sturgeon, Jared D.

Sturgeon, Jared D. is an individual health care provider with primary practice located at 1501 W Royal Ln , Irving TX 75063-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Sturgeon, Jared D. can be contacted via phone (469) 513-5500.

Contact Information

Primary practice address
1501 W Royal Ln Irving TX 75063-3213
Phone: (469) 513-5500
Fax: (469) 420-9600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301104721 Michigan
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X N9966 Texas

Profile Details

NPI number 1720230063
LBN Legal business name Sturgeon, Jared D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated Dec 15th, 2017 - about 9 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 1720230063 NPPES
Texas MEDICAID 348946001
Texas MEDICAID 348946002
Texas MEDICAID 348946003
Texas MEDICAID 200737480A
Texas Other P01667440

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