Individual
DR. JESSICA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
200 HAWKINS DR, DEPT. OF SURGERY, IOWA CITY, IA 52242-1007
(319) 356-1616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R-9231
IA
208600000X
Surgery Physician
Primary
R6242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388193001
—
TX
01
—
388193002
MEDICAID CSHCN
TX
Enumeration date
06/13/2011
Last updated
02/06/2019
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