Paul D. Jantzi
Allergist & Immunologist
1203 S Austin St
Brenham
, Texas 77833-4575
Paul D. Jantzi
Allergist & Immunologist
1203 S Austin St
Brenham
, Texas 77833-4575
(979) 251-7804
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Paul D. Jantzi
- Po Box 611
- Brenham, TX
- Zip : 77834-0611
- Fax : (979) 251-7804
- Phone : (979) 836-5582
Second Address
- Paul D. Jantzi
- 1203 S Austin St
- Brenham, TX
- Zip : 77833-4575
- Fax : (979) 251-7804
- Phone : (979) 836-5582
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | L4007 | TX |
National Provider Identifier
| NPI | 1114090867 |
|---|---|
| Provider Name | Paul D. Jantzi |
| First Address | Brenham, TX 77834-0611 |
| Second Address | Brenham, TX 77833-4575 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2006 |
| Last Update Date | 29/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I31139 | (02) | TX |
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.