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Deactivated NPI 1659373645 Deactivated / Inactive NPI Female Practitioner

Connie Jan

Pediatrics • Katy, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Connie Jan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2005
NPI Deactivation Date September 27, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Connie Jan was a registered Pediatrics practicing in Katy, TX. Throughout an active medical career spanning 18 years, Connie Jan provided care at the practice location at 705 S FRY RD until profile deactivation on 2023-09-27.

Practice Location & Contact Primary Location

Practice Address

705 S Fry Rd
Suite 120

Katy, TX 774502251

Telephone 2813983100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Katy, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Katy, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX L6440

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1215924568

Doctor of Medicine (M.D.)

NPI 1255332201

Doctor of Medicine (M.D.)

NPI 1265876031

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1356343719

Doctor of Medicine (M.D.)

NPI 1639197866

Doctor of Medicine (M.D.)

NPI 1679560155

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2023

Record deactivated on September 27, 2023

NPI Profile Active March 02, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 02, 2009

Registered at 705 S FRY RD, SUITE 120, KATY, TX 774502251 (Tel: 2813983100)

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Updated Business Mailing Address March 02, 2009

Registered at PO BOX 841969, DALLAS, TX 752841969

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Provider Name / Credentials Updated March 02, 2009

Recorded as CONNIE JAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2009

Pediatrics (License #L6440 in TX)

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Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659373645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: March 02, 2009
Deactivation Date: September 27, 2023

Mailing Address

Po Box 841969

Dallas, TX 752841969

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.