Healthcare Provider Details

I. General information

NPI: 1942510730
Provider Name (Legal Business Name): LINDA JARRETT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12741 EAST FWY
HOUSTON TX
77015-5605
US

IV. Provider business mailing address

16239 CORAL BAY ST
CROSBY TX
77532-5617
US

V. Phone/Fax

Practice location:
  • Phone: 713-453-7788
  • Fax: 713-453-3424
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberPA03420
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: