Provider Demographics
NPI:1275724130
Name:NORTHEAST HOUSTON ENDOCRINOLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:NORTHEAST HOUSTON ENDOCRINOLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:JEAN-PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-441-6432
Mailing Address - Street 1:18842 S MEMORIAL
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:281-441-6432
Mailing Address - Fax:281-441-6434
Practice Address - Street 1:18842 S MEMORIAL
Practice Address - Street 2:SUITE 203
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:281-441-6432
Practice Address - Fax:281-441-6434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1165174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00237ZMedicare PIN