Healthcare Provider Details

I. General information

NPI: 1639527252
Provider Name (Legal Business Name): MRS. JEAN BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21212 NORTHWEST FWY SUITE 265
CYPRESS TX
77429-5884
US

IV. Provider business mailing address

644 N ELDRIDGE PKWY
HOUSTON TX
77079-4410
US

V. Phone/Fax

Practice location:
  • Phone: 281-890-0263
  • Fax: 281-890-7612
Mailing address:
  • Phone: 713-254-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA 01345
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: