Provider Demographics
NPI:1952367575
Name:SHAFFER, JONATHON B (MD)
Entity Type:Individual
Prefix:MR
First Name:JONATHON
Middle Name:B
Last Name:SHAFFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16651 SW FREEWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-494-4900
Mailing Address - Fax:281-494-4905
Practice Address - Street 1:16651 SW FREEWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-494-4900
Practice Address - Fax:281-494-4905
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH2965207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine