Individual
JOHN R. TEMPLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23330 EASTEX FWY, KINGWOOD, TX 77339-4471
(832) 777-6165
Mailing address
40517 ROUNDUP RD, MAGNOLIA, TX 77354-4644
(281) 468-8379
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H4743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131909714
—
TX
01
—
1891729315
TRICARE SOUTH
TX
01
—
8F9290
BCBSTX
TX
Enumeration date
07/10/2006
Last updated
07/07/2020
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