Provider Demographics
NPI:1255571162
Name:CU, JENNIFER E (PA-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:CU
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9055 KATY FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1624
Mailing Address - Country:US
Mailing Address - Phone:713-461-2915
Mailing Address - Fax:713-461-5307
Practice Address - Street 1:18300 KATY FWY
Practice Address - Street 2:SUITE 615
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1385
Practice Address - Country:US
Practice Address - Phone:713-461-2915
Practice Address - Fax:713-461-5307
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2016-08-02
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Provider Licenses
StateLicense IDTaxonomies
TXPA06155363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L9870Medicare PIN