Healthcare Provider Details
I. General information
NPI: 1407000821
Provider Name (Legal Business Name): JOCELYNE SAWERIS TADROS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/12/2008
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 W MEDICAL CENTER BLVD
WEBSTER TX
77598-4220
US
IV. Provider business mailing address
7510 SAN CLEMENTE POINT CT
KATY TX
77494-2502
US
V. Phone/Fax
- Phone: 281-338-3900
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 061652 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 061652 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 61652 |
| License Number State | GA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | V3719 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: