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MISS JOCELYN DERIENNE MACK URSUA
NPI 1053985192
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since May 13, 2021
6431 FANNIN STREET, MSB 1.134, HOUSTON, TX 77030(318) 210-7066 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2021, May 13, 2021 (2 updates tracked since 2021).

About Miss Jocelyn Derienne Mack Ursua NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JOCELYN DERIENNE MACK URSUA (NPI 1053985192) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1053985192
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS JOCELYN DERIENNE MACK URSUA
Location Address6431 FANNIN STREET, MSB 1.134Houston, TX 77030
Mailing Address6431 Fannin St, Msb 1.134Houston, TX 77030-1501 · (318) 210-7066
Phone(318) 210-7066
Sole ProprietorNo
Enumeration DateMay 13, 2021
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1053985192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6431 FANNIN STREET, Houston, TX 77030
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Other Names 1

Former Name (1)Joshua Derek Mack Ursua

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDHYA AVULA MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, SUITE NUMBER MSB 3
HOUSTON, TX 77030
Harris County (713) 500-6397
MR. TOMOKI KINOSHITA M.D.
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, SUITE 1014
HOUSTON, TX 77030
Harris County (713) 500-7722
KEVIN PRAFUL PATEL DO
Emergency Medicine
6431 FANNIN STREET, JJL270
HOUSTON, TX 77030
Harris County (346) 262-8158
CHRISTINA ROLANDELLI MD
Anesthesiology
6431 FANNIN STREET, SUITE MSB 5.196
HOUSTON, TX 77030
Harris County (713) 500-6223
HASAAN SIDDIQUI
Radiology (Diagnostic Radiology)
6431 FANNIN STREET, MSB 2.010A
HOUSTON, TX 77030
Harris County (713) 500-7488
SHARON R PAN MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030
Harris County (713) 500-6526
OMAR SHAIKH
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030
Harris County (214) 648-5617
DR. STEPHANIE CHIDINMA ASSIMONYE MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN STREET, MSB 2.116
HOUSTON, TX 77030
Harris County (713) 500-7614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jocelyn Derienne Ursua's NPI number?

The NPI number for Jocelyn Derienne Ursua is 1053985192. It was assigned to this individual provider in the NPPES registry on May 13, 2021. The provider is also known as Joshua Derek Mack Ursua.

Where is Jocelyn Derienne Ursua located?

Jocelyn Derienne Ursua practices at 6431 Fannin Street Msb 1.134, Houston, TX 77030. The listed phone number is (318) 210-7066.

What is Jocelyn Derienne Ursua's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jocelyn Derienne Ursua was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.