Etoile Jessup is a Gerontology in Houston, Texas. Etoile Jessup practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Etoile Jessup is 1790735413. The last update date is 2011-12-22.
Etoile Jessup's current location address is 8511 S Sam Houston Pkwy E, Houston, Texas. You can contact this provider via phone number 7133432300 and fax number 8665461237. The mailing address for Etoile Jessup is 8511 S Sam Houston Pkwy E, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Etoile Jessup |
|---|---|
| Address | 8511 S Sam Houston Pkwy E, Houston, Texas |
| Phone Number | 7133432300 |
| Fax Number | 8665461237 |
| Sole Proprietor | N |
| Credentials | RN,GNP-C |
NPI Number Detail
| NPI Number | 1790735413 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2011-12-22 |
Provider Mailing Address Detail
| Address | 8511 S Sam Houston Pkwy E |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770754857 |
| Phone Number | 7133432300 |
| Fax Number | 8665461237 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 13332 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 142143002 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Etoile Jessup by the Centers for Medicare & Medicaid Services?
The Etoile Jessup has been issued the NPI (National Provider Identifier) 1790735413 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Etoile Jessup is geographically located?
The Etoile Jessup is physically situated at the following location: 8511 S Sam Houston Pkwy E, Houston, TX, 770754857.
What is Etoile Jessup's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Etoile Jessup is Gerontology, and the taxonomy classification code that categorizes this area of expertise is 363Lg0600X.
On what date did the Etoile Jessup receive the assignment of its 1790735413 from the Centers for Medicare & Medicaid Services?
The Etoile Jessup was issued its 1790735413 by the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the information pertaining to Etoile Jessup most recently updated or revised?
The details related to Etoile Jessup, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-22.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM