DR. Jackie E Wanebo, MD

NPI #1003981663 in Houston, Texas

Provider Information

NPI Number: 1003981663
Entity Type: Individual
Name: DR. Jackie E Wanebo, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Nov 21, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 7900 FANNIN ST
Address 2: SUITE #3300
City: Houston
State: Texas
ZIP Code: 77054-2934
Phone: (713) 630-0660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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