Individual
JESSIE ADAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3007 WOODLAND HILLS DR # 123, KINGWOOD, TX 77339-1403
(281) 359-1953
(281) 657-6834
Mailing address
3007 WOODLAND HILLS DR # 123, KINGWOOD, TX 77339-1403
(281) 359-1953
(281) 657-6834
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
H9743
TX
207ZF0201X
Forensic Pathology Physician
H9743
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
H9743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220032975
RAILROAD MEDICARE
TX
Enumeration date
06/11/2005
Last updated
01/10/2017
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