Provider Demographics
NPI:1841328341
Name:OOMS, JAN WILLEM LAURENS (PT)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:WILLEM LAURENS
Last Name:OOMS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 RAYFORD RD
Mailing Address - Street 2:SUITE 111, BOX 131
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1555
Mailing Address - Country:US
Mailing Address - Phone:281-719-0401
Mailing Address - Fax:281-719-0401
Practice Address - Street 1:4301 VISTA RD
Practice Address - Street 2:SUITE 104B
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2117
Practice Address - Country:US
Practice Address - Phone:713-378-3320
Practice Address - Fax:832-925-7103
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist