Healthcare Provider Details

I. General information

NPI: 1851559728
Provider Name (Legal Business Name): JEAN A. KNAPPS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 CYPRESS STATION DR STE G-3
HOUSTON TX
77090-3055
US

IV. Provider business mailing address

1125 CYPRESS STATION DR STE G-3
HOUSTON TX
77090-3055
US

V. Phone/Fax

Practice location:
  • Phone: 815-831-3002
  • Fax:
Mailing address:
  • Phone: 281-583-1300
  • Fax: 281-583-1303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberQ9176
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberQ9176
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: