Individual
MR. JEAN GREGORY REKOFF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6410 FANNIN ST, SUITE 722, HOUSTON, TX 77030-3000
(832) 325-7284
(713) 512-7140
Mailing address
6410 FANNIN ST, SUITE 722, HOUSTON, TX 77030-3000
(832) 325-7284
(713) 512-7140
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
564031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095PV
BC/BS
TX
05
—
180530102
—
TX
01
—
DF1985
MEDICARE RR GROUP
TX
Enumeration date
04/21/2007
Last updated
06/06/2014
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