Organization
MD JANUARY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBONI JANUARY MD (CEO)
(573) 268-4830
Entity
Organization
Contact information
Practice address
9894 BISSONNET ST STE 470, HOUSTON, TX 77036-8282
(833) 635-2623
Mailing address
10918 BRAMBLING WOOD DR, HOUSTON, TX 77043-2320
(573) 268-4830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/07/2023
Last updated
02/08/2023
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