Provider Demographics
NPI:1366764771
Name:HUME, JOHN W (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:HUME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7802 MAPLE TRACE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4366
Mailing Address - Country:US
Mailing Address - Phone:718-869-3546
Mailing Address - Fax:
Practice Address - Street 1:20180 CHASEWOOD PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1436
Practice Address - Country:US
Practice Address - Phone:281-205-5100
Practice Address - Fax:936-444-1979
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP0733208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation