Provider Demographics
NPI:1104865260
Name:BARON, JASON DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:DENNIS
Last Name:BARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 GUHN RD
Mailing Address - Street 2:STE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6162
Mailing Address - Country:US
Mailing Address - Phone:713-783-8889
Mailing Address - Fax:713-953-0471
Practice Address - Street 1:5500 GUHN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6161
Practice Address - Country:US
Practice Address - Phone:713-783-8889
Practice Address - Fax:713-953-0471
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD40272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115366004Medicaid
TX115366002Medicaid
TX1000283OtherUNITED HEALTHCARE
TX10016099OtherAMERIGROUP
TX1000283OtherUNITED HEALTHCARE
TX10016099OtherAMERIGROUP