Dr. Jerry Wayne Polasek
General Practice Physician
1 Baylor Plz
Houston
, Texas 77030-3411
Dr. Jerry Wayne Polasek
General Practice Physician
1 Baylor Plz
Houston
, Texas 77030-3411
(281) 217-5119
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Jerry Wayne Polasek
- 1602 Gannoway Lake Ct
- Sugar Land, TX
- Zip : 77498-2873
- Phone : (281) 217-5119
Second Address
- Dr. Jerry Wayne Polasek
- 1 Baylor Plz
- Houston, TX
- Zip : 77030-3411
- Phone : (281) 217-5119
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208D00000X | General Practice Physician | M5885 | TX |
National Provider Identifier
| NPI | 1043487911 |
|---|---|
| Provider Name | Dr. Jerry Wayne Polasek |
| First Address | Sugar Land, TX 77498-2873 |
| Second Address | Houston, TX 77030-3411 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2008 |
| Last Update Date | 29/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.