Stephanie Jacks
Pediatrics | Female
Stephanie Jacks is a Houston, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stephanie Jacks is
6701 Fannin St, Houston, Texas - 77030-2608. She can be contacted on phone at
832-824-1000.
Stephanie Jacks is a sole proprietor of her business.
NPI number (Unique professional ID) for Stephanie Jacks is
1003041567 which was assigned by NPPES on 27 May, 2009 and it was last updated on 17 Dec, 2021.
Stephanie Jacks license number is
R4401 for Pediatrics (208000000X) in Texas.
Stephanie Jacks is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Stephanie Jacks basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Stephanie Jacks |
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| Gender : | Female |
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Business Address:
Stephanie Jacks address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6701 Fannin St
Houston, TX, 77030-2608
United States |
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| Phone Number : | 832-824-1000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003041567 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 May, 2009 |
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| Last Updated On : | 17 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Jacks are as mentioned. Primary taxonomy code for Stephanie Jacks is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207N00000X | Dermatology | No | R4401 | TX |
| 208000000X | Pediatrics | Yes | R4401 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Stephanie Jacks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| P01500386 | Other | MS | RAILROAD MEDICARE PTAN |
| 06536832 | MEDICAID | MS | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 1600 EUREKA RD,
ROSEVILLE, CA, 95661-3027
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2450 Holcombe Blvd Ste Nb-34l
Houston, TX, 77021-2039
United States |
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| Phone Number : | 832-828-3660 |
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Business Location:
Patients can refer following map for directions to
Stephanie Jacks practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.