Jerry N Street MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

F5763 Issued in TX

Legal business name

JERRY N STREET MD PA

Practice address

1140 Business Center Dr
Suite Number 202
Houston, TX 77043-2737

Phone

(713) 461-5808

Fax

(713) 973-0853

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Jerry Neville Street, MD

Title

President

Phone

(713) 461-5808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1295972040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "SUITE NUMBER 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-461-5808",
            "fax_number": "713-973-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "SUITE NUMBER 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-461-5808",
            "fax_number": "713-973-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY N STREET MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "NEVILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-461-5808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ung Jerrells, OTR/L
• Jerri P Sethna MD PA
• Jerry L Wender DDS PA
• Jerry L Westover DDS PLLC
• Jerry L Westover DDS PLLC
• Jerry Oakman MD PLLC
• Jerusem Healthcare Services Inc
• Andrea Stephanie Jervis-Woolf, MD
• Arthur Herbert Jeske, D.M.D.
• Dafe Jessa, DO

• Orthopaedic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.