Bouquot, Jerry E
Bouquot, Jerry E is an sole proprietor health care provider with primary practice located at 6516 Md Anderson Blvd Rm #3.094F, Houston TX 77030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Bouquot, Jerry E can be contacted via phone (866) 446-4936.Contact Information
Primary practice address
6516 Md Anderson Blvd Rm #3.094F
Houston TX 77030
Phone: (866) 446-4936
Fax: (713) 450-3988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 22003 | Texas |
Profile Details
| NPI number | 1457494460 |
|---|---|
| LBN Legal business name | Bouquot, Jerry E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457494460 | NPPES |
| Other | P00305690 | MEDICARE RAILROAD CARRIER | |
| Other | 89D241 | MEDICARE RAILROAD CARRIER |
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