JK SURGERY, P.A.
Ambulatory Health at Old Katy Rd, Houston, TX

License number
Texas F1071
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. JACK EDWARD JENSEN M.D.
Title: MANAGER
Phone: (713) 647-7700
Address
Address
9180 Old Katy Rd SUITE 202, Houston, TX 77055
National Provider ID: 1104996149
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JK SURGERY, PA

Houston, TX

Doing business as:
Jk Surgery, PA
Registration:
Aug 3, 2004
Addresses:
11204 Wilding Ln, Houston, TX 77024 (Mailing)
9180 Katy Fwy, Houston, TX 77055
State ID:
0800372758
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Jack E. Jensen (President, Treasurer, Secretary, Director, Member, Vice-President)
Agent:
Jack E Jensen,11204 Wilding Ln, Houston, TX 77024 (Physical)
TIN:
18106534227

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