Individual
DR. TARYLL LAMONT JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23535 KINGSLAND BLVD, KATY, TX 77494-3962
(281) 347-2600
Mailing address
23535 KINGSLAND BLVD, KATY, TX 77494-3962
(281) 347-2600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M4208
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067NS
BLUE CROSS BLUE SHIELD TX
TX
01
—
10074714
AMERIGROUP
TX
05
—
180539201
—
TX
Enumeration date
07/11/2006
Last updated
07/17/2024
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