Dejean, Gwendolyn R

Dejean, Gwendolyn R is an individual health care provider with primary practice located at 2800 S Macgregor Way , Houston TX 77021-1032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dejean, Gwendolyn R can be contacted via phone (713) 500-8800.

Contact Information

Primary practice address
2800 S Macgregor Way Houston TX 77021-1032
Phone: (713) 500-8800
Fax: (713) 741-5049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 600763 Texas

Profile Details

NPI number 1578546487
LBN Legal business name Dejean, Gwendolyn R
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Aug 27th, 2007 - about 19 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 1578546487 NPPES
Texas MEDICAID 158232201

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