Individual
JACK B FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M2954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186018103
—
TX
01
—
8S7509
BCBS
TX
01
—
P00622297
RR MEDICARE
TX
Enumeration date
05/25/2006
Last updated
08/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us