Basic Information
| Provider Information | |||||||||
| NPI: | 1063948768 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAMBUTH | ||||||||
| FirstName: | JOCELYN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14730 BARRYKNOLL LN | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770792802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814969700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14730 BARRYKNOLL LN | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770792802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814969700 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2017 | ||||||||
| LastUpdateDate: | 01/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | S6666 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.