Individual
MR. JOHN LEE WAMBLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 JAMES BOWIE, SUITE D103, BAYTOWN, TX 77520-3340
(281) 428-1870
(281) 422-0658
Mailing address
1600 JAMES BOWIE, SUITE D103, BAYTOWN, TX 77520-3340
(281) 428-1870
(281) 422-0658
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
06039
MS
2084P0800X
Psychiatry Physician
Primary
H6976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122256401
—
TX
Enumeration date
04/04/2007
Last updated
07/19/2010
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