Provider Demographics
NPI:1457336133
Name:STERN, JON KARL (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:KARL
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7500 BEECHNUT ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-4335
Mailing Address - Country:US
Mailing Address - Phone:713-988-8442
Mailing Address - Fax:713-988-9222
Practice Address - Street 1:7500 BEECHNUT ST
Practice Address - Street 2:SUITE 350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4335
Practice Address - Country:US
Practice Address - Phone:713-988-8442
Practice Address - Fax:713-988-9222
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2007-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE2876207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC22259Medicare UPIN
TX8F2470Medicare PIN