Provider Demographics
NPI:1164636353
Name:ESTRADA, JAIME OBED (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAIME
Middle Name:OBED
Last Name:ESTRADA
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:8635 LONG POINT RD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3037
Mailing Address - Country:US
Mailing Address - Phone:713-973-8292
Mailing Address - Fax:713-973-0841
Practice Address - Street 1:8635 LONG POINT RD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3037
Practice Address - Country:US
Practice Address - Phone:713-973-8292
Practice Address - Fax:713-973-0841
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2024-11-07
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Provider Licenses
StateLicense IDTaxonomies
TXPA03505363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant