Individual
JESSIE JOHN ANDUAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 332-2511
Mailing address
500 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 332-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/11/2024
Last updated
10/21/2024
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