MEDICARE: DR. MARIA JACINTA LA CRUZ RONDON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	P2713	TX
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	P2713	TX
3	207Q00000X	Family Medicine Physician	P2713	TX

General Provider Information

NPI Number	:	1255596342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA JACINTA LA CRUZ RONDON MD

Provider Business Mailing Address
First Line	:	8313 SOUTHWEST FWY STE 105
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1612
Country	:	US
Telephone Number	:	832-617-3080
Fax Number	:	713-832-4160

Provider Business Practice Location Address
First Line	:	7333 NORTH FWY STE 430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-1301
Country	:	US
Telephone Number	:	832-482-1200
Fax Number	:	832-957-6204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	01/23/2026

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