Organization
KISH KOMIE, LP
Active
Other names
ER 24-7 PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK JENSEN MD (OWNER)
(713) 984-1400
Entity
Organization
Contact information
Practice address
9180 KATY FWY, SUITE 150, HOUSTON, TX 77055-7454
(713) 465-0911
Mailing address
9180 KATY FWY, SUITE 150, HOUSTON, TX 77055-7454
(713) 465-0911
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376646521
MEDICARE ID-TYPE UNSPECIFIED
TX
Enumeration date
08/03/2010
Last updated
02/02/2012
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