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Individual

DR. JERRY LEE GENTRY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5514 ATASCOCITA RD, SUITE 290, HUMBLE, TX 77346-2968
(713) 400-3038
(832) 644-5597
Mailing address
5514 ATASCOCITA RD, SUITE 290, HUMBLE, TX 77346-2968
(713) 400-3038
(832) 644-5597

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
N8918
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118334
MS
01
9805166
CIGNA PIN
MS
Enumeration date
10/05/2006
Last updated
01/21/2021
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