Organization
JB INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE BEAUVAIS M.D. (OWNER)
(281) 973-1564
Entity
Organization
Contact information
Practice address
201 KINGWOOD MEDICAL DR, SUITE A-300, KINGWOOD, TX 77339-6012
(281) 973-1564
(281) 973-1569
Mailing address
201 KINGWOOD MEDICAL DR, SUITE A-300, KINGWOOD, TX 77339-6012
(281) 973-1564
(281) 973-1569
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043SG
BCBS
TX
Enumeration date
04/10/2009
Last updated
07/07/2009
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