Individual
DR. JERRY LEE FOLLOWWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 N VIRGINIA ST FL 2, PORT LAVACA, TX 77979-3025
(361) 552-0379
(361) 500-6904
Mailing address
1016 N VIRGINIA ST, PORT LAVACA, TX 77979-3000
(361) 552-0325
(361) 500-6904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J2446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1153751-05
—
TX
01
—
4398497
AETNA
TX
01
—
8AC910
BCBS
TX
01
—
P00608089
RAILROAD MEDICARE
TX
Enumeration date
08/20/2006
Last updated
08/22/2025
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