Organization
JERRY N STREET MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY NEVILLE STREET MD (PRESIDENT)
(713) 461-5808
Entity
Organization
Contact information
Practice address
1140 BUSINESS CENTER DR, SUITE NUMBER 202, HOUSTON, TX 77043-2737
(713) 461-5808
(713) 973-0853
Mailing address
1140 BUSINESS CENTER DR, SUITE NUMBER 202, HOUSTON, TX 77043-2737
(713) 461-5808
(713) 973-0853
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F5763
TX
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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