Loupe, Jericho Gerald Joseph

Loupe, Jericho Gerald Joseph is an individual health care provider with primary practice located at 1305 Wonder World Dr Ste 105 Yps-Credentialing, San Marcos TX 78666-7502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Loupe, Jericho Gerald Joseph can be contacted via phone (512) 353-8161.

Contact Information

Primary practice address
1305 Wonder World Dr Ste 105 Yps-Credentialing San Marcos TX 78666-7502
Phone: (512) 353-8161
Fax: (512) 353-8255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 686187 Texas

Profile Details

NPI number 1992908321
LBN Legal business name Loupe, Jericho Gerald Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Sep 17th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992908321 NPPES
Texas MEDICAID 158772704
Texas Other P01163791
Texas Other 8869UD

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