Traver, Jessica
Traver, Jessica is an individual health care provider with primary practice located at 17520 W Grand Pkwy S Ste 200 , Sugar Land TX 77479-4759. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Traver, Jessica can be contacted via phone (713) 486-1600.Contact Information
Primary practice address
17520 W Grand Pkwy S Ste 200
Sugar Land TX 77479-4759
Phone: (713) 486-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 2011016885 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | S2920 | Texas |
Profile Details
| NPI number | 1275820169 |
|---|---|
| LBN Legal business name | Traver, Jessica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2011 |
| Last updated | Aug 23rd, 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 | 1275820169 | NPPES |
| Texas | MEDICAID | 405402505 |
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