Provider Demographics
NPI:1811905888
Name:POAGE, JAN J (MD)
Entity type:Individual
Prefix:DR
First Name:JAN
Middle Name:J
Last Name:POAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3100 WESLAYAN ST.
Mailing Address - Street 2:# 360
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027
Mailing Address - Country:US
Mailing Address - Phone:713-528-4080
Mailing Address - Fax:713-942-0541
Practice Address - Street 1:3100 WESLAYAN ST.
Practice Address - Street 2:# 360
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-528-4080
Practice Address - Fax:713-942-0541
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH89522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry