Individual
DR. CARLOS RUBEN JESSURUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6624 FANNIN ST, SUITE 1420, HOUSTON, TX 77030-2312
(713) 797-1620
(713) 797-1543
Mailing address
6624 FANNIN ST, SUITE 1420, HOUSTON, TX 77030-2312
(713) 797-1620
(713) 797-1543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MDJ2112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060056695
RR
TX
05
—
124503701
—
TX
Enumeration date
06/25/2006
Last updated
02/10/2022
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