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Individual

MRS. JINAE ELISE SPEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2608
(832) 824-1000
Mailing address
2 GREENWAY PLZ STE 300, HOUSTON, TX 77046-0207
(832) 828-3660

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06573
TX
363AM0700X
Medical Physician Assistant
PA06573
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8902597
NC
Enumeration date
04/08/2008
Last updated
03/04/2016
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