Decker, Jason Everett

Decker, Jason Everett is an individual health care provider with primary practice located at 2017 Broadway St , Pearland TX 77581-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Decker, Jason Everett can be contacted via phone (281) 485-9990.

Contact Information

Primary practice address
2017 Broadway St Pearland TX 77581-5501
Phone: (281) 485-9990
Fax: (281) 485-9469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L1558 Texas

Profile Details

NPI number 1861489833
LBN Legal business name Decker, Jason Everett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated May 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861489833 NPPES
Texas Other L1558 LICENSE NUMBER
Texas Other 145224503 LICENSE NUMBER

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