Healthcare Provider Details

I. General information

NPI: 1235477043
Provider Name (Legal Business Name): JEFFREY H. CHARNOV, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2013
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 GESSNER RD SUITE 970
HOUSTON TX
77024-2527
US

IV. Provider business mailing address

915 GESSNER RD SUITE 970
HOUSTON TX
77024-2527
US

V. Phone/Fax

Practice location:
  • Phone: 713-932-0770
  • Fax: 713-932-8595
Mailing address:
  • Phone: 713-932-0770
  • Fax: 713-932-8595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: JUDIE NELSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 713-932-0770