Individual
DR. JERRY WAYNE POLASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BAYLOR PLZ, HOUSTON, TX 77030-3411
(281) 217-5119
Mailing address
1602 GANNOWAY LAKE CT, SUGAR LAND, TX 77498-2873
(281) 217-5119
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5885
TX
208D00000X
General Practice Physician
M5885
TX
Other
Enumeration date
05/10/2008
Last updated
11/29/2011
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