Active NPI
Jaydam Services, LLC
- Adult Medicine Physician
- Houston, TX
National Provider Identifier
1568760403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- JAYDAM SERVICES, LLC
- Practice address
- 6250 Westpark Dr
321
Houston, TX 77057-7322 - Phone
- (832) 723-2549
- NPI assigned
- Mar 1, 2011
- Last updated
- Mar 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yvonne D Doherty
- Title
- Administrator
- Phone
- (832) 723-2549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NU | Primary |
Addresses
Primary practice location
6250 Westpark Dr
321
Houston, TX 77057-7322
Mailing address
6250 Westpark Dr
321
Houston, TX 77057-7322
Phone (832) 723-2549
National Provider Directory
National Provider DirectoryLocations
6250 Westpark Dr
Ste 321
Houston, TX 77057
Phone (713) 787-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298937600000",
"number": "1568760403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6250 WESTPARK DR",
"address_2": "321",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770577322",
"telephone_number": "832-723-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 WESTPARK DR",
"address_2": "321",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770577322",
"telephone_number": "832-723-2549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYDAM SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-01",
"last_updated": "2011-03-01",
"status": "A",
"authorized_official_last_name": "DOHERTY",
"authorized_official_first_name": "YVONNE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "832-723-2549",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.