MEDICARE: JARROD PERRY TUNNELL

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
1	2084P0800X	Psychiatry Physician	S6544	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	S6544	TX

General Provider Information

NPI Number	:	1780181974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARROD PERRY TUNNELL

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7201
Country	:	US
Telephone Number	:	214-648-3111
Fax Number	:

Provider Business Practice Location Address
First Line	:	13747 MONTFORT DR STE 320
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-4454
Country	:	US
Telephone Number	:	972-734-3893
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	07/26/2023

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Directions to “ JARROD PERRY TUNNELL ” Practice Location

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