Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1458 | TX |
Y | 222Z00000X | Podiatrist | 1458 | TX |
NPI | 1053347849 |
---|---|
Provider Name | Dr. Jason Robert Armstrong |
First Address | Houston, TX 77090-2697 |
Second Address | Houston, TX 77090-2697 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
044996902 | (05) | TX |
7946285 | AETNA (01) | TX |
80204X | BCBS (01) | TX |
U76497 | (02) | TX |