MEDICARE: DR. MAGGIE ANN JEFFRIES M.D.

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	207L00000X	Anesthesiology Physician	M6676	TX

General Provider Information

NPI Number	:	1568500106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGGIE ANN JEFFRIES M.D.

Provider Business Mailing Address
First Line	:	2726 BISSONNET ST
Second Line	:	SUITE 240-505
City	:	HOUSTON
State	:	TX
Zip	:	77005-1319
Country	:	US
Telephone Number	:	832-390-4477
Fax Number	:	866-391-2754

Provider Business Practice Location Address
First Line	:	2726 BISSONNET ST
Second Line	:	SUITE 240-505
City	:	HOUSTON
State	:	TX
Zip	:	77005-1319
Country	:	US
Telephone Number	:	832-390-4477
Fax Number	:	866-391-2754

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

Provider Enumeration Date	:	02/04/2007
Last Update Date	:	04/01/2014

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