Individual
DR. EJAZ JANJUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6550 FANNIN ST STE 1101, HOUSTON, TX 77030-2740
(713) 441-0006
(713) 790-2727
Mailing address
6550 FANNIN ST STE 1101, HOUSTON, TX 77030-2740
(713) 441-0006
(713) 790-2727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q4933
TX
208M00000X
Hospitalist Physician
Primary
Q4933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350240301
—
TX
05
—
350240302
—
TX
01
—
8FJ009
BLUE CROSS BLUE SHIELD
TX
01
—
8FX390
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/10/2015
Last updated
02/07/2017
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