Individual
DR. JEANNE SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5411 CAREW ST, HOUSTON, TX 77096-1247
(713) 253-9492
Mailing address
5411 CAREW ST, HOUSTON, TX 77096-1247
(713) 253-9492
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H0834
TX
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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