Individual
SURENDRA K JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6624 FANNIN ST, STE 2320, HOUSTON, TX 77030-2312
(713) 797-1111
(713) 790-0008
Mailing address
6624 FANNIN ST, STE 2320, HOUSTON, TX 77030-2312
(713) 797-1111
(713) 790-0008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F7493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133733904
—
TX
01
—
4105257
AETNA
—
Enumeration date
10/06/2005
Last updated
03/28/2013
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