Justin Keith Juneau, PTA

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2116362 Issued in TX

Practice address

13531 Will Clayton Pkwy Ste 600
Humble, TX 77346-4851

Phone

(713) 814-2520

Fax

(713) 704-3891

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Hermann Health System

  dba Memorial Hermann Pharmacy-TMC

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1366229619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1205506300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13531 WILL CLAYTON PKWY STE 600",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464851",
            "telephone_number": "713-814-2520",
            "fax_number": "713-704-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13531 WILL CLAYTON PKWY STE 600",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464851",
            "telephone_number": "713-814-2520",
            "fax_number": "713-704-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "JUSTIN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "2116362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonelle Jozwiak
• Bartosz Pawel Jozwik, M.D.
• Juan Carlos Zubieta MD MPH PLLC
• Malak Juarez, APRN
• Julio Gaitan D.D.S., P.a. (Lake Houston Endodontics)
• Just Braces of Texas, PLLC
• Just Divine Mediclinic & Medispa ,LLC
• Lauren Brooke Justice
• Jveb Enterprises, PLLC
• Marium N Kabir, PHARM.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Humble, TX
• Providers in Humble, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.