Individual
DR. JACK LENDON RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
8850 SIX PINES DR., SUITE 100, THE WOODLANDS, TX 77380-2680
(281) 367-6836
(281) 681-5187
Mailing address
8850 SIX PINES DR., SUITE 100, THE WOODLANDS, TX 77380-2680
(281) 367-6836
(281) 681-5187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2816989-023
CIGNA
TX
01
—
2816989-024
CIGNA
TX
01
—
2816989-025
CIGNA
TX
01
—
3231590
AETNA HMO
TX
01
—
34239
AMERICAID
TX
01
—
4211340
AETNA PPO
TX
01
—
8J1222
BCBS PROVIDER #
TX
01
—
P00064361
MEDICARE RAILROAD
TX
Enumeration date
07/12/2005
Last updated
07/09/2007
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