Provider Demographics
NPI:1245684760
Name:CHEN, JESSIE YUYUE (MD)
Entity type:Individual
Prefix:DR
First Name:JESSIE
Middle Name:YUYUE
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4370 MEDICAL ARTS DR STE 270
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1713
Mailing Address - Country:US
Mailing Address - Phone:972-394-4500
Mailing Address - Fax:
Practice Address - Street 1:4370 MEDICAL ARTS DR STE 270
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1713
Practice Address - Country:US
Practice Address - Phone:972-394-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT13192088F0040X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery