Individual
DR. JEROME WERNER TIEFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2624 SANTO DOMINGO DR, LEAGUE CITY, TX 77573-3056
(281) 337-6935
Mailing address
2624 SANTO DOMINGO DR, LEAGUE CITY, TX 77573-3056
(281) 337-6935
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M1382
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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