Houston, Jody W.
Houston, Jody W. is an individual health care provider with primary practice located at 505 S Nolen Dr , Southlake TX 76092-9167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Houston, Jody W. can be contacted via phone (817) 424-1525.Contact Information
Primary practice address
505 S Nolen Dr
Southlake TX 76092-9167
Phone: (817) 424-1525
Fax: (817) 424-3491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M3589 | Texas |
Profile Details
| NPI number | 1891724100 |
|---|---|
| LBN Legal business name | Houston, Jody W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | May 23rd, 2013 - about 11 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 | 1891724100 | NPPES |
| Texas | Other | 8V3623 | BCBSTX |
| Texas | Other | M3589 | BCBSTX |
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