Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | BP1-0029050 | TX |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | N7257 | TX |
NPI | 1003062035 |
---|---|
Provider Name | Dr. Jeanette Ferrer |
First Address | Houston, TX 77026-1967 |
Second Address | Houston, TX 77026-1967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 07/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BP1-0029050 | TEXAS PIT LICENSE NUMBER (01) | TX |