Provider Demographics
NPI:1467478453
Name:UYEDA, JESSE K (MD)
Entity Type:Individual
Prefix:MR
First Name:JESSE
Middle Name:K
Last Name:UYEDA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8876 GULF FREEWAY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6550
Mailing Address - Country:US
Mailing Address - Phone:713-947-9509
Mailing Address - Fax:713-947-0609
Practice Address - Street 1:8876 GULF FREEWAY
Practice Address - Street 2:SUITE 215
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6550
Practice Address - Country:US
Practice Address - Phone:713-947-9509
Practice Address - Fax:713-947-0609
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2012-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1582207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101565302Medicaid
TX80X197Medicare PIN
TXG25081Medicare UPIN