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Individual

DR. JEDSIAN CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D./M.P.H

Contact information

Practice address
6560 FANNIN ST STE 1554, HOUSTON, TX 77030-2714
(713) 796-1500
(832) 649-3298
Mailing address
6560 FANNIN ST STE 1554, HOUSTON, TX 77030-2714
(713) 796-1500
(832) 649-3298

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
036144098
IL
208800000X
Urology Physician
255303
MA
208800000X
Urology Physician
Primary
R8169
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036144098
STATE LICENSE
IL
Enumeration date
07/18/2008
Last updated
10/08/2024
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