Provider Demographics
NPI:1093579682
Name:PUZYK, JESSICA CHAVERA
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:CHAVERA
Last Name:PUZYK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19214 NOAH ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-4130
Mailing Address - Country:US
Mailing Address - Phone:281-744-9735
Mailing Address - Fax:254-765-2754
Practice Address - Street 1:19214 NOAH ARBOR LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-4130
Practice Address - Country:US
Practice Address - Phone:281-744-9735
Practice Address - Fax:254-765-2754
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG