Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | R8025 | TX |
NPI | 1043576176 |
---|---|
Provider Name | Dr. Jesus Armando Juarez |
First Address | Houston, TX 77058-2806 |
Second Address | Houston, TX 77058 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 28/12/2020 |