Provider Demographics
NPI:1801013677
Name:JAIME, HUGO GERARDO (DC)
Entity Type:Individual
Prefix:MR
First Name:HUGO
Middle Name:GERARDO
Last Name:JAIME
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:HUGH
Other - Middle Name:
Other - Last Name:JAIME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2626 S LOOP W # 522
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2654
Mailing Address - Country:US
Mailing Address - Phone:713-661-2100
Mailing Address - Fax:713-661-2104
Practice Address - Street 1:2626 S LOOP W # 522
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:713-661-2100
Practice Address - Fax:713-661-2104
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10339111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation