MEDICARE: JO ANN MONETTE PA

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	363A00000X	Physician Assistant	PA03812	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00J21A	OTHER	TX	MEDICARE GROUP

General Provider Information

NPI Number	:	1659450229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JO ANN MONETTE PA

Provider Business Mailing Address
First Line	:	1201 LAKE ROBBINS DR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1181
Country	:	US
Telephone Number	:	832-636-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 LAKE ROBBINS DR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1181
Country	:	US
Telephone Number	:	832-636-4001
Fax Number	:

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	12/03/2014

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Directions to “ JO ANN MONETTE PA” Practice Location

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