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1790784700

NPI Code Detail

MEDICARE: JODY PINKERTON MD

MEDICARE: JODY PINKERTON MD

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	207V00000X	Obstetrics & Gynecology Physician	G55731	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	160040777	OTHER	TX	MEDICARE RR-SW LOCATION

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2008929	OTHER	TX	AETNA
2	3677670-003	OTHER	TX	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	88W583	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1790784700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY PINKERTON MD

Provider Business Mailing Address
First Line	:	16651 SOUTHWEST FWY
Second Line	:	SUITE 200
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2345
Country	:	US
Telephone Number	:	713-774-5131
Fax Number	:	713-481-6316

Provider Business Practice Location Address
First Line	:	16651 SOUTHWEST FWY
Second Line	:	SUITE 200
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2345
Country	:	US
Telephone Number	:	713-774-5131
Fax Number	:	713-481-6316

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	04/25/2011

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Directions to “ JODY PINKERTON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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