Provider Demographics
NPI:1437239860
Name:BUDOFF, JEFFREY E (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:E
Last Name:BUDOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1016
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-800-1120
Mailing Address - Fax:713-800-1121
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1016
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-800-1120
Practice Address - Fax:713-800-1121
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8718207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0918730002OtherCIGNA DMERC PROVIDER NUMBER
TX100387304Medicaid
TX0918730002OtherCIGNA DMERC PROVIDER NUMBER
TX100387304Medicaid
TXG24118Medicare UPIN