Healthcare Provider Details

I. General information

NPI: 1306313945
Provider Name (Legal Business Name): JESSICA JANE SEKHON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 GABLE GLEN LN
HOUSTON TX
77095
US

IV. Provider business mailing address

9010 GABLE GLEN LN
HOUSTON TX
77095-2876
US

V. Phone/Fax

Practice location:
  • Phone: 713-835-7076
  • Fax:
Mailing address:
  • Phone: 713-835-7076
  • Fax: 346-299-5172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number113925
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: