Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Lee Worsham, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194216663

Jesse Lee Worsham, MD is a Student in an Organized Health Care Education/Training Program in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

211 E Southlake Blvd Ste 107
Southlake, TX 76092-6274
Phone: (817) 670-3857
Fax: (817) 259-2669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence T5701 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194216663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2018
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address211 E Southlake Blvd Ste 107, Southlake, TX 76092-6274

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