Provider Demographics
NPI:1346535143
Name:LINCOLN, JEWEL C (DO)
Entity type:Individual
Prefix:
First Name:JEWEL
Middle Name:C
Last Name:LINCOLN
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 HIGHWAY 6 STE 110
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5149
Mailing Address - Country:US
Mailing Address - Phone:281-276-0653
Mailing Address - Fax:281-276-0691
Practice Address - Street 1:8330 HIGHWAY 6 STE 110
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5149
Practice Address - Country:US
Practice Address - Phone:281-276-0653
Practice Address - Fax:281-276-0691
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0756207Q00000X
TXBP10038566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine