Provider Demographics
NPI:1801028717
Name:DEFRANCIS, JASON G (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:G
Last Name:DEFRANCIS
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 1:1710 E SAUNDERS ST
Mailing Address - Street 2:SUITE B-380
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5443
Mailing Address - Country:US
Mailing Address - Phone:956-726-5333
Mailing Address - Fax:956-726-9228
Practice Address - Street 1:1710 E SAUNDERS ST
Practice Address - Street 2:SUITE B-380
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5443
Practice Address - Country:US
Practice Address - Phone:956-726-5333
Practice Address - Fax:956-726-9228
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5009207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209788301Medicaid
TX209788301Medicaid