Individual
EDWIN JONATTAN VENCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18955 N MEMORIAL DR STE 360, HUMBLE, TX 77338-4396
(281) 319-8530
Mailing address
909 FROSTWOOD DR STE 1.100, HOUSTON, TX 77024-2301
(713) 338-5519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14361
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2019
Last updated
09/25/2024
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