Individual
DR. JACK EDWARD JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9180 KATY FWY SUITE 200, HOUSTON, TX 77055-7454
(713) 984-1400
(713) 984-0544
Mailing address
9180 KATY FREEWAY, STE 200, HOUSTON, TX 77055
(713) 984-1400
(713) 647-8090
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F1071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
760281931
TAX IDENTIFICATION NUMBER
TX
01
—
82376Z
BLUE CROSS BLUE SHIELD
TX
01
—
F1071
TX LICENSE NUMBER
TX
Enumeration date
07/13/2005
Last updated
07/14/2016
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