Individual
JODI STENGEM MARKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6560 FANNIN ST, STE. 724, HOUSTON, TX 77030-2761
(713) 790-0058
Mailing address
4606 HOLT ST, BELLAIRE, TX 77401-5809
(713) 660-0533
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
M0482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136324401
—
TX
Enumeration date
09/28/2006
Last updated
06/24/2009
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