Gentry, Jerry Lee

Gentry, Jerry Lee is an individual health care provider with primary practice located at 5514 Atascocita Rd Suite 290, Humble TX 77346-2968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Gentry, Jerry Lee can be contacted via phone (713) 400-3038.

Contact Information

Primary practice address
5514 Atascocita Rd Suite 290 Humble TX 77346-2968
Phone: (713) 400-3038
Fax: (832) 644-5597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X N8918 Texas

Profile Details

NPI number 1750477683
LBN Legal business name Gentry, Jerry Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jan 21st, 2021 - about 5 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 1750477683 NPPES
Mississippi Other 9805166 CIGNA PIN
Mississippi MEDICAID 00118334 CIGNA PIN

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