Individual
JAMIE N KALANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 MASON ST, HOUSTON, TX 77006-2106
(713) 757-2887
Mailing address
2020 MASON ST, HOUSTON, HOUSTON, TX 77006-2106
(713) 533-0467
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M4781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188254001
—
TX
01
—
188254004
CSHCN
TX
05
—
188254005
—
TX
05
—
188254006
—
TX
05
—
188254009
—
TX
01
—
8AT552
BLUE CROSS BLUE SHIELD
TX
01
—
8X6083
BCBS
TX
Enumeration date
01/26/2007
Last updated
09/28/2009
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