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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417577834

John Eisenga, MD is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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

3500 Gaston Ave
Dallas, TX 75246-2017
Phone: (214) 820-2361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417577834
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 26, 2020
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020

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