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NPI Code Detail

MEDICARE: JENNIFER RINCON

MEDICARE:   JENNIFER  RINCON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2106H00000XMarriage & Family Therapist205636TX

General Provider Information

NPI Number : 1033423892
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RINCON
Provider Business Mailing Address
First Line : 2950 CULLEN BLVD STE 102
Second Line :
City : PEARLAND
State : TX
Zip : 77584-3922
Country : US
Telephone Number : 832-905-9211
Fax Number :
Provider Business Practice Location Address
First Line : 2950 CULLEN BLVD STE 102
Second Line :
City : PEARLAND
State : TX
Zip : 77584-3922
Country : US
Telephone Number : 832-905-9211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 09/23/2024

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Directions to “ JENNIFER RINCON ” Practice Location

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