Individual
JEFFREY J. TARRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
H5137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100533201
—
TX
01
—
100533203
CSHCN
TX
01
—
220009616
RR MEDICARE
TX
01
—
800990
BCBS
TX
Enumeration date
10/11/2006
Last updated
10/20/2020
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