Provider Demographics
NPI:1134536089
Name:JONATHAN R. HULME MD, PA
Entity type:Organization
Organization Name:JONATHAN R. HULME MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING/RECEPTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:FREIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-537-7784
Mailing Address - Street 1:17215 RED OAK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2611
Mailing Address - Country:US
Mailing Address - Phone:281-537-7784
Mailing Address - Fax:281-537-2786
Practice Address - Street 1:17215 RED OAK DR STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2611
Practice Address - Country:US
Practice Address - Phone:281-537-7784
Practice Address - Fax:281-537-2786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6771207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207V00000XOtherOBSTETRICS/GYNECOLOGY