Provider Demographics
NPI:1952021669
Name:COEN, JANSEN JOHN (OD)
Entity Type:Individual
Prefix:DR
First Name:JANSEN
Middle Name:JOHN
Last Name:COEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HERMANN MUSEUM CIRCLE DR APT 2312
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7932
Mailing Address - Country:US
Mailing Address - Phone:916-842-7449
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR STE 1350A
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1531
Practice Address - Country:US
Practice Address - Phone:281-298-3755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10674152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist