Individual
DR. JENNIE L REXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1515 HOLCOMBE BLVD, MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431, HOUSTON, TX 77030-4000
(713) 754-5051
(713) 794-4999
Mailing address
1515 HOLCOMBE BLVD, MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431, HOUSTON, TX 77030-4000
(713) 745-5051
(713) 794-4999
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160815001
—
TX
01
—
7394526
AETNA PPO PRODUCTS
—
01
—
86833A
BCBS
TX
Enumeration date
08/24/2005
Last updated
02/20/2009
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