Organization
OMAR M JEROUDI, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR MOHAMED JEROUDI MD (PRESIDENT)
(832) 489-1582
Entity
Organization
Contact information
Practice address
17490 HIGHWAY 3, STE A300, WEBSTER, TX 77598-3602
(281) 724-9940
(832) 632-1979
Mailing address
PO BOX 272506, HOUSTON, TX 77277-2506
(281) 724-9940
(832) 632-1979
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/20/2020
Last updated
08/13/2020
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