Jackie E Wanebo MD

NPI 1003981663 - Pediatrics - 208000000X

NPI Details
NPI 1003981663
Gender Female
Enumeration Date 11/21/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7900 FANNIN ST
SUITE #3300
HOUSTON TX, 77054-2934, US
Phone (713) 630-0660
Fax (713) 796-2555
Business Location
7900 FANNIN ST
SUITE #3300
HOUSTON TX, 77054-2934, US
Phone (713) 630-0660
Fax (713) 796-2555
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number J9428
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According to our database, Dr. Jackie E Wanebo MD NPI is 1003981663, taxonomy code is 208000000X and license number is J9428, license state is located at Texas. Jackie E Wanebo MD physically located at 7900 Fannin St, Houston TX, 77054-2934. NPI Number Jackie E Wanebo MD has the Individual type.

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1003981663 NPI number is provided on an as is basis without warranty of any kind. 1003981663 is maintained by the National Plan & Provider Enumeration System. The contents of Jackie E Wanebo MD are for informational purposes only.