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Individual

DR. JANTZEN DEANDRE THORNS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20207 CHASEWOOD PARK DR, HOUSTON, TX 77070-1441
(832) 534-7600
Mailing address
20207 CHASEWOOD PARK DR STE 305, HOUSTON, TX 77070-1442
(832) 534-7600

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R0511
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364955002
TX
Enumeration date
07/21/2011
Last updated
10/09/2024
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