MEDICARE: JAIRO ALBERTO DUSSAN SARRIA MD

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	207L00000X	Anesthesiology Physician	48999	TX

General Provider Information

NPI Number	:	1831044007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIRO ALBERTO DUSSAN SARRIA MD

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD STOP 7200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9068
Country	:	US
Telephone Number	:	214-645-2118
Fax Number	:

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD STOP 7200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9068
Country	:	US
Telephone Number	:	214-645-2118
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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