Dr. Jackie E Wanebo, MD
Pediatrics in Houston, TX. Individual provider (NPI-1).
NPI number1003981663
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1003981663
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jackie E Wanebo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | J9428 | TX | Yes |
Practice location
7900 Fannin StSuite #3300
Houston, TX 77054-2934
Phone 713-630-0660 · Fax 713-796-2555
Mailing address
7900 Fannin StSuite #3300
Houston, TX 77054-2934
Phone 713-630-0660 · Fax 713-796-2555
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