Provider Demographics
NPI:1336740588
Name:CAZAUBON, JESSICA CLAUDIA
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:CLAUDIA
Last Name:CAZAUBON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13327 CRIM RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-3448
Mailing Address - Country:US
Mailing Address - Phone:832-373-6137
Mailing Address - Fax:
Practice Address - Street 1:13327 CRIM RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-3448
Practice Address - Country:US
Practice Address - Phone:832-373-6137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX804668363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care