Provider Demographics
NPI:1659893196
Name:JASON G DEFRANCIS. MD PA
Entity Type:Organization
Organization Name:JASON G DEFRANCIS. MD PA
Other - Org Name:JASON G DEFRANCIS, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-726-5333
Mailing Address - Street 1:1710 E SAUNDERS ST STE B380
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5531
Mailing Address - Country:US
Mailing Address - Phone:956-726-5333
Mailing Address - Fax:956-726-9228
Practice Address - Street 1:1710 E SAUNDERS ST STE B380
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5531
Practice Address - Country:US
Practice Address - Phone:956-726-5333
Practice Address - Fax:956-726-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5009207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209788301Medicaid