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NPI Code Detail

MEDICARE: ALI-NOOR JESSANI

MEDICARE: ALI-NOOR JESSANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianV7913TX
22084F0202XForensic Psychiatry PhysicianV7913TX

General Provider Information

NPI Number : 1275116915
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI-NOOR JESSANI
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-648-3433
Fax Number :
Provider Business Practice Location Address
First Line : 3330 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-4531
Country : US
Telephone Number : 214-371-6639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2021
Last Update Date : 12/15/2025

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Directions to “ ALI-NOOR JESSANI ” Practice Location

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