Jennifer Marie Garrison, D.O.
Individual provider Active NPI Family Medicine Physician · Katy, TX
NPI 1396901138 · NPPES record last updated Oct 3, 2018
Key facts
- NPI
- 1396901138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- Q3366 (TX)
- Practice address
- 23530 Kingsland Blvd Ste 130
Katy, TX 77494-7466 - Phone
- (832) 522-8751
- NPI assigned
- Jul 31, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- TMH Physician Associates PLLC
Legacy Healthcare Services Inc
Practice addresses (Care Compare)
23530 Kingsland Blvd
Katy, TX 77494-7466
Phone (832) 522-8751
4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411
7550 Greenbriar Dr
Houston, TX 77030-4508
7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955
800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543
Hospital & facility affiliations
- Houston Methodist West Hospital
- Memorial Hermann Katy Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150921002865 | TX | Practitioner - Family Practice | 9739496936 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63836 | GA | MD | Family Medicine Physician |
| Q3366 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Family Medicine | Current |
Accepting new patients |
| TMH Physician Associates PLLC | Current |
Accepting new patients | |
| Cardiology Center of Houston PA | Past |
Accepting new patients |
Locations
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
23530 Kingsland Blvd
Ste 130
Katy, TX 77494
Phone (832) 522-8751
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEDECA
- jgarrison163564@directhoustonmethodist.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 63836 | GA | |
| Family Medicine Physician | 207Q00000X | Q3366 | TX | Yes |
Addresses
Primary practice location
23530 Kingsland Blvd Ste 130
Katy, TX 77494-7466
Mailing address
23530 Kingsland Blvd Ste 130
Katy, TX 77494-7466
Phone (832) 522-8751
Other practice location 1
650 Joel Dr
Blanchfield Army Community Hospital
Fort Campbell, KY 42223-5318
Phone (270) 798-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379712801 | Medicaid | TX |
Other providers in Katy, TX
- Urvashi Garib-Sohan
- Margaret I Garner
- Garrett a. Bethke,D.D.S., Inc.
- Margaret Annette Garrett
- Linda Garrido
- Kyle Reese Garrow
- Haley L. Garth
- Steven Howard Gartzman
- Kelly Garvey
- Gary D Welch DDS Inc
All providers in Katy, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.