Individual
DR. JENNY H PETKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6550 FANNIN ST STE 1000, HOUSTON, TX 77030-2717
(713) 865-1410
Mailing address
6550 FANNIN SMITH TOWER SUITE 1001, HOUSTON, TX 77030
(713) 441-1111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48256
WI
207RH0000X
Hematology (Internal Medicine) Physician
Primary
C10010924
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008806261J
HUMANA
—
05
—
34659600
—
WI
Enumeration date
05/17/2006
Last updated
11/12/2024
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