KATIE ROUSSEAU JEANS (NPI# 1093151862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093151862 |
| Entity Type | Individual |
| Full Name | KATIE ROUSSEAU JEANS |
| Other Name | KATIE MAHALI ROUSSEAU |
| Credential | M.D. |
| Practice Address |
13105 Wortham Center Dr Houston TX 77065-5611 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134424000 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R4566 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
R4566 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
R4566 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 401850901 | 05 | |
| TX | 401850903 | 05 | |
| TX | 401850902 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2727 W Holcombe Blvd, Houston, TX 770251669 | 7134420000 | |
| 25553 Us Highway 59, Porter, TX 773655500 | 7134422100 | |
| 1 Baylor Plz, Houston, TX 770303411 | 7137984951 |
| Street Address |
13105 WORTHAM CENTER DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710953575 | Benito Villegas Marrufo | Internal Medicine | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2006-02-23 |
| 1255969382 | Susan Ndukwu | Pharmacist | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2020-04-01 |
| 1851862247 | Kimberly Ida Kurtin Rosen | Optometrist | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2018-12-10 |
| 1780048934 | Sahil Parikh | Family Medicine | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2016-04-13 |
| 1356735997 | Daniela Catalina Mcconnell | Obstetrics & Gynecology | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2015-03-21 |
| 1295179315 | Elaine G Garcia | Physician Assistant | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2013-04-19 |
| 1659692242 | Christina Sheu Klemme | Family Medicine | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2010-06-17 |
| 1952565673 | Ghazala M Abuazza | Pediatrics | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2008-07-11 |
| 1215125893 | Ks Pharm, LLC | Pharmacy | 13105 Wortham Center Dr, Houston, TX 77065 | 2007-10-09 |
| 1598892911 | Laboratory Corporation of America | Clinical Medical Laboratory | 13105 Wortham Center Dr, Houston, TX 77065-5611 | 2007-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
| 1275892572 | Paul M Stevens | Internal Medicine | 2301 Morse St, Houston, TX 77019-6811 | 2012-05-08 |
| 1477823722 | Alexander N Stadnyk Md | Internal Medicine | 6624 Fannin St Ste 1450, Houston, TX 77030-2385 | 2012-01-04 |
| 1417284084 | Julio Shahar Md Pa | Internal Medicine | 13111 East Fwy Ste 304, Houston, TX 77015-5819 | 2009-11-03 |
| 1235373481 | Anurag Agrawal | Internal Medicine | 2133 Wroxton Rd, Houston, TX 77005-1533 | 2009-04-30 |
| 1033369624 | Breathing Centers of Texas, Pllc | Internal Medicine | 4854 Beechnut St, Houston, TX 77096-1604 | 2008-09-19 |
| 1992980924 | Ana E Roman Md Pa | Internal Medicine | 6560 Fannin Ste 1406, Houston, TX 77030 | 2008-01-09 |
| 1124226899 | Rina Nazir Awan | Internal Medicine | 22485 Tomball Parkway, Suite 300, Houston, TX 77070 | 2007-07-04 |
| 1336263086 | Steven Haber | Internal Medicine | 9225 Katy Fwy, Suite 404, Houston, TX 77024-1521 | 2007-03-19 |
| 1821151267 | Louis Roddy Md Pa | Internal Medicine | 1315 St Joseph Pkwy # 1315, Houston, TX 77002-8233 | 2006-12-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.