Provider Demographics
NPI:1447523402
Name:JAMMER, EDGAR A
Entity type:Individual
Prefix:
First Name:EDGAR
Middle Name:A
Last Name:JAMMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8035 E NORTH BELT
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-2904
Mailing Address - Country:US
Mailing Address - Phone:713-492-2057
Mailing Address - Fax:281-476-6617
Practice Address - Street 1:8035 E NORTH BELT
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-2904
Practice Address - Country:US
Practice Address - Phone:713-492-2057
Practice Address - Fax:281-476-6617
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10007073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport