Derzapf, Jennifer Baudat
Derzapf, Jennifer Baudat is an individual health care provider with primary practice located at 16605 Southwest Fwy Ste 400 , Sugar Land TX 77479-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Derzapf, Jennifer Baudat can be contacted via phone (281) 275-0800.Contact Information
Primary practice address
16605 Southwest Fwy Ste 400
Sugar Land TX 77479-3500
Phone: (281) 275-0800
Fax: (281) 275-0801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K5509 | Texas |
Profile Details
| NPI number | 1659341717 |
|---|---|
| LBN Legal business name | Derzapf, Jennifer Baudat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Feb 18th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659341717 | NPPES |
| Texas | MEDICAID | 045860603 | |
| Texas | MEDICAID | 045860604 | |
| Texas | MEDICAID | 045860602 | |
| Texas | Other | 8EF695 | |
| Texas | MEDICAID | 045860601 | |
| Texas | Other | 080165741 | |
| Texas | Other | 1659341717 | |
| Texas | Other | 8CE139 |
Popular Providers
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Shpats, Inna
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Leigh, Kecia Rosanne
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Kiser, Keith Wayne
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Chen, Rueywen
16605 Southwest Fwy Ste 400 , Sugar Land TX 77479-3500 -
Poonia, Disha
11555 University Blvd , Sugar Land TX 77478-3889