Provider Demographics
NPI:1083827323
Name:BISCAMP, JASON (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:BISCAMP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:690 S LOOP 336 W
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3319
Mailing Address - Country:US
Mailing Address - Phone:936-522-4000
Mailing Address - Fax:936-522-4022
Practice Address - Street 1:690 S LOOP 336 W
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3319
Practice Address - Country:US
Practice Address - Phone:936-522-4000
Practice Address - Fax:936-522-4022
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2015-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301091746207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine