Individual
JESUS VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 824-4330
(832) 825-4347
Mailing address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 824-4330
(832) 825-4347
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
H7667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130503901
—
TX
Enumeration date
10/17/2006
Last updated
11/05/2007
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