Healthcare Provider Details

I. General information

NPI: 1114462736
Provider Name (Legal Business Name): JEFFREY CLEAVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2017
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 BERTNER AVE
HOUSTON TX
77030-2604
US

IV. Provider business mailing address

6431 FANNIN STREET MSB 1.134
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberV7852
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV7852
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: