Jg Nutrend Providers PA

NPI #1578185500 in Tomball, Texas

Provider Information

NPI Number
1578185500
Entity Type
Organization
Organization Name
Jg Nutrend Providers PA
Primary Specialty
Family Medicine
Enumeration Date
May 13, 2020
Last Updated
Mar 31, 2021

Practice Location

Address
425 HOLDERRIETH BLVD STE 212
State
Texas
ZIP Code
77375-4552
Phone
(346) 246-4171

Authorized Official

Name
MARY NAN WHITMEYER
Title
PRACTICE MANAGER
Phone
(346) 246-3424

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory Family Planning FacilityAmbulatory Family Planning Facility
Family Medicine

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