Mouton, Jacqueline

Mouton, Jacqueline is an individual health care provider with primary practice located at 21216 Northwest Fwy Suite 620, Cypress TX 77429-1439. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mouton, Jacqueline can be contacted via phone (281) 469-7704.

Contact Information

Primary practice address
21216 Northwest Fwy Suite 620 Cypress TX 77429-1439
Phone: (281) 469-7704
Fax: (281) 469-4066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00854 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05855 Texas

Profile Details

NPI number 1851558639
LBN Legal business name Mouton, Jacqueline
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Mar 28th, 2012 - 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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