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NPI Code Detail

MEDICARE: DR. JON F. DEFRANCE PH.D.

MEDICARE:  DR. JON F. DEFRANCE  PH.D.
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
1103G00000XClinical Neuropsychologist3055TX

General Provider Information

NPI Number : 1376562603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JON F. DEFRANCE PH.D.
Provider Business Mailing Address
First Line : 530 WELLS FARGO DR
Second Line : SUITE 220
City : HOUSTON
State : TX
Zip : 77090-4044
Country : US
Telephone Number : 281-631-9100
Fax Number :
Provider Business Practice Location Address
First Line : 530 WELLS FARGO DR
Second Line : SUITE 220
City : HOUSTON
State : TX
Zip : 77090-4044
Country : US
Telephone Number : 281-631-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JON F. DEFRANCE PH.D.” Practice Location

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