MEDICARE: JEANETTE G CHRISTENSEN D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	M7717	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	M7717	TX

General Provider Information

NPI Number	:	1023216793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANETTE G CHRISTENSEN D.O

Provider Business Mailing Address
First Line	:	5409 FEAGAN ST UNIT A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-7165
Country	:	US
Telephone Number	:	713-376-9670
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 HEIGHTS BLVD STE 213
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2552
Country	:	US
Telephone Number	:	713-376-9670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2007
Last Update Date	:	09/06/2023

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