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NPI Code Detail

MEDICARE: JENNY BAHENA

MEDICARE:   JENNY  BAHENA
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
1101Y00000XCounselor94501TX

General Provider Information

NPI Number : 1902645807
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY BAHENA
Provider Business Mailing Address
First Line : 3800 COUNTY ROAD 94 APT 11305
Second Line :
City : MANVEL
State : TX
Zip : 77578-2976
Country : US
Telephone Number : 615-584-4440
Fax Number :
Provider Business Practice Location Address
First Line : 7616 BRANFORD PL STE 220
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-3794
Country : US
Telephone Number : 615-584-4440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2024
Last Update Date : 03/16/2026

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Directions to “ JENNY BAHENA ” Practice Location

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