1063649838 NPI number — DR. JARMARA LAURETTE DARCEY MD, FACOG

Table of content: DR. JARMARA LAURETTE DARCEY MD, FACOG (NPI 1063649838)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063649838 NPI number — DR. JARMARA LAURETTE DARCEY MD, FACOG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DARCEY
Provider First Name:
JARMARA
Provider Middle Name:
LAURETTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, FACOG
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HICE-GARZA
Provider Other First Name:
JARMARA
Provider Other Middle Name:
LAURETTE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, FACOG
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063649838
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21216 NORTHWEST FWY
Provider Second Line Business Mailing Address:
SUITE 520
Provider Business Mailing Address City Name:
CYPRESS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77429-1439
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-955-7900
Provider Business Mailing Address Fax Number:
281-955-0700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23900 KATY FWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77494-1323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-644-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  A144229 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: MD2014-0103 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: P6634 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)