Individual
FORUM P JHONSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTA
Contact information
Practice address
REGENCY VILLAGE, 409 GREEN ST., WEBSTER, TX 77598
(281) 332-4738
Mailing address
403 ELDER GROVE COURT, PEARLAND, TX 77584
(713) 436-9245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
208993
TX
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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