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NPI Code Detail

MEDICARE: DR. XUAN DUONG JESSON PHD

MEDICARE: DR. XUAN DUONG JESSON PHD
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
1103G00000XClinical Neuropsychologist38930TX

General Provider Information

NPI Number : 1568306181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. XUAN DUONG JESSON PHD
Provider Business Mailing Address
First Line : 3109 BISSONNET ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-4020
Country : US
Telephone Number : 408-630-0200
Fax Number :
Provider Business Practice Location Address
First Line : 1333 MOURSUND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3408
Country : US
Telephone Number : 713-797-7248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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