Individual
JACK PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6621 FANNIN ST, MC19345-C, HOUSTON, TX 77030-2303
(832) 826-5664
(832) 825-1906
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 826-5664
(832) 825-1906
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
L6586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149794301
—
TX
Enumeration date
10/17/2006
Last updated
09/21/2007
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