Corey Tyler Jensen M.D.

NPI 1861521213 - Radiology - 2085R0202X

NPI Details
NPI 1861521213
Gender Male
Enumeration Date 03/03/2007
Last Updated 02/03/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2316 CAMDEN DR
HOUSTON TX, 77021-1010, US
Phone (513) 520-0581
Fax
Business Location
2316 CAMDEN DR
HOUSTON TX, 77021-1010, US
Phone (513) 520-0581
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Texas
License Number M4828
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According to our database, Dr. Corey Tyler Jensen M.D. NPI is 1861521213, taxonomy code is 2085R0202X and license number is M4828, license state is located at Texas. Corey Tyler Jensen M.D. physically located at 2316 Camden Dr, Houston TX, 77021-1010. NPI Number Corey Tyler Jensen M.D. has the Individual type.

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1861521213 NPI number is provided on an as is basis without warranty of any kind. 1861521213 is maintained by the National Plan & Provider Enumeration System. The contents of Corey Tyler Jensen M.D. are for informational purposes only.