Organization
JD UNITED, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS T FUKE MD (OWNER)
(281) 991-2200
Entity
Organization
Contact information
Practice address
5010 CRENSHAW RD, SUITE #130, PASADENA, TX 77505-3097
(281) 991-2200
(281) 991-7700
Mailing address
3917 PEBBLE BROOK DR, LEAGUE CITY, TX 77573-3766
(832) 524-5355
(281) 991-7700
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
M6138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6987950001
PTAN
TX
Enumeration date
03/28/2014
Last updated
03/28/2014
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