Dr. Corey Tyler Jensen, M.D.
Radiology, Diagnostic Radiology in Houston, TX. Individual provider (NPI-1).
NPI number1861521213
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1861521213
- Entity type
- Individual (NPI-1)
- Name
- Dr. Corey Tyler Jensen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2007
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | M4828 | TX | Yes |
Practice location
1515 Holcombe BlvdHouston, TX 77030-4000
Phone 713-792-6161
Mailing address
Po Box 4439Houston, TX 77210-4439
Phone 713-792-6161
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