Provider Demographics
NPI:1336145390
Name:JESS, RAYMOND C (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:C
Last Name:JESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:130 REDBUD ST
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-4616
Mailing Address - Country:US
Mailing Address - Phone:979-297-5168
Mailing Address - Fax:979-297-0099
Practice Address - Street 1:130 REDBUD ST
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4616
Practice Address - Country:US
Practice Address - Phone:979-297-5168
Practice Address - Fax:979-297-0099
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2016-06-14
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Provider Licenses
StateLicense IDTaxonomies
TXD32822083P0011X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology