Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | K7034 | TX |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | K7034 | TX |
NPI | 1316908494 |
---|---|
Provider Name | Christopher J Jayne |
First Address | Houston, TX 77004-7642 |
Second Address | Houston, TX 77004-7642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
165893202 | (05) | TX |