Provider Demographics
NPI:1487047437
Name:FOLLING, JEANNIE JIMMERSON
Entity type:Individual
Prefix:
First Name:JEANNIE
Middle Name:JIMMERSON
Last Name:FOLLING
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 1:2423 PETERBOROUGH WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073
Mailing Address - Country:US
Mailing Address - Phone:713-715-9483
Mailing Address - Fax:832-379-7486
Practice Address - Street 1:13050 CHAMPIONS PARK DR
Practice Address - Street 2:807
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-3261
Practice Address - Country:US
Practice Address - Phone:713-715-9483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor