Organization Name: | JED LEE HOWARD PA |
NPI Number: | 1003126723 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JED LEE HOWARD (PHYSICIAN) |
Mailing Address: | 6565 West Loop South Suite #650 Bellaire |
State: | TX US |
Postal Code: | 774010000 |
Phone Number: | 7133577232 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2010 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS0132X |
License Number: | D2242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ophthalmologic Surgery |
Taxonomy Definition: |