Basic Information
Provider Information
NPI: 1245974211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS HUEN
FirstName: JENNIFER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 54 TROUTMAN ST APT 4B
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112060724
CountryCode: US
TelephoneNumber: 9295079315
FaxNumber:  
Practice Location
Address1: 2102 TREASURE HILLS BLVD
Address2:  
City: HARLINGEN
State: TX
PostalCode: 785508736
CountryCode: US
TelephoneNumber: 9562961491
FaxNumber: 9563894603
Other Information
ProviderEnumerationDate: 04/25/2022
LastUpdateDate: 04/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10078603TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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