Provider Demographics
NPI:1679768295
Name:KAUR, JASPREET (MD)
Entity Type:Individual
Prefix:MRS
First Name:JASPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 E GRIFFIN PKWY
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-2400
Mailing Address - Country:US
Mailing Address - Phone:956-271-4950
Mailing Address - Fax:956-271-4979
Practice Address - Street 1:1022 E GRIFFIN PKWY
Practice Address - Street 2:SUITE 111
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2400
Practice Address - Country:US
Practice Address - Phone:956-271-4950
Practice Address - Fax:956-271-4979
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMDG0806465Medicaid
TX309766901Medicaid
TXTXB165763Medicare PIN