Individual
DR. .JERRY JOSEPH IGNATIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, UNIT 1454, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P1876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305889301
—
TX
Enumeration date
08/13/2008
Last updated
01/17/2013
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