DR. JEANNE SOUTHERN


Address: 5411 Carew St, Houston, TX 77096-1247
Phone: 7132539492

DR. JEANNE SOUTHERN (NPI# 1255364527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255364527
Entity Type Individual
Full Name DR. JEANNE SOUTHERN
Credential M.D.
Practice Address 5411 Carew St
Houston
TX 77096-1247
Practice Telephone 7132539492
Mailing Telephone 7132539492
Enumeration Date 2006-07-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice H0834 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 5411 CAREW ST
City HOUSTON
State TX
Zip Code 77096-1247

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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