Eitel, Jeffrey

Eitel, Jeffrey is an individual health care provider with primary practice located at 8511 S Sam Houston Pkwy E 101, Houston TX 77075-4857. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Eitel, Jeffrey can be contacted via phone (713) 343-2300.

Contact Information

Primary practice address
8511 S Sam Houston Pkwy E 101 Houston TX 77075-4857
Phone: (713) 343-2300
Fax: (866) 546-1237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 616018 Texas

Profile Details

NPI number 1558313163
LBN Legal business name Eitel, Jeffrey
Credentials RN,GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 29th, 2009 - about 17 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 1558313163 NPPES
Texas MEDICAID 174666101

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