Provider Demographics
NPI:1881738649
Name:JEANETTE, JOSEPH P II (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:JEANETTE
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3721 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2401
Mailing Address - Country:US
Mailing Address - Phone:512-869-7310
Mailing Address - Fax:512-688-5584
Practice Address - Street 1:3721 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2401
Practice Address - Country:US
Practice Address - Phone:512-869-7310
Practice Address - Fax:512-688-5584
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP2268208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery