Individual provider · NPI-1

Jessie Adame, M.D.

Pathology, Anatomic Pathology & Clinical Pathology · Kingwood, TX

NPI number1922002492
StatusActive
Last updated in NPPESJan 10, 2017

Details

NPI
1922002492
Entity type
Individual (NPI-1)
Name
Jessie Adame
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 11, 2005
Last updated
Jan 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical PathologyH9743TXYes
207ZF0201X Pathology, Forensic PathologyH9743TX
202C00000X Independent Medical ExaminerH9743TX

Practice location

3007 Woodland Hills Dr # 123
Kingwood, TX 77339-1403

Phone 281-359-1953 · Fax 281-657-6834

Mailing address

3007 Woodland Hills Dr # 123
Kingwood, TX 77339-1403

Phone 281-359-1953 · Fax 281-657-6834

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