Stephanie Jacks
Pediatrician Dermatologist
6701 Fannin St
Houston
, Texas 77030-2608
Stephanie Jacks
Pediatrician Dermatologist
6701 Fannin St
Houston
, Texas 77030-2608
(832) 828-3660
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About
Features
Specialties
- Dermatologist
- Pediatrician
Languages spoken
- English
Location
First Address
- Stephanie Jacks
- 2450 Holcombe Blvd Ste Nb-34l
- Houston, TX
- Zip : 77021-2039
- Phone : (832) 828-3660
Second Address
- Stephanie Jacks
- 6701 Fannin St
- Houston, TX
- Zip : 77030-2608
- Phone : (832) 824-1000
Reviews
FAQs
Where did Stephanie Jacks attend graduate school?
Where did Stephanie Jacks do her residency?
Where did Stephanie Jacks do her fellowship?
Is Stephanie Jacks board certified?
What type of doctor is Stephanie Jacks
In what state does Stephanie Jacks practice in?
Where is Stephanie Jacks ’s practice located?
What is Stephanie Jacks ’s gender?
Is Stephanie Jacks a sole practitioner?
Is Stephanie Jacks accepting new patients?
What languages does Stephanie Jacks speak?
Does Stephanie Jacks accept insurance?
Does Stephanie Jacks offers telemedicine?
What is Stephanie Jacks ’s professional license number?
What is Stephanie Jacks ’s NPI number?
Does Stephanie Jacks have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | R4401 | TX |
| Y | 208000000X | Pediatrician | R4401 | TX |
National Provider Identifier
| NPI | 1003041567 |
|---|---|
| Provider Name | Stephanie Jacks |
| First Address | Houston, TX 77021-2039 |
| Second Address | Houston, TX 77030-2608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2009 |
| Last Update Date | 17/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06536832 | (05) | MS |
| P01500386 | RAILROAD MEDICARE PTAN (01) | MS |
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.