Provider Demographics
NPI:1487865176
Name:ESSA, JOANNE LAILA (MD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:LAILA
Last Name:ESSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 HIGHLANDER BLVD STE 415
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4329
Mailing Address - Country:US
Mailing Address - Phone:469-218-0661
Mailing Address - Fax:
Practice Address - Street 1:700 HIGHLANDER BLVD STE 415
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4329
Practice Address - Country:US
Practice Address - Phone:469-218-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1625207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology