Healthcare Provider Details
I. General information
NPI: 1144309428
Provider Name (Legal Business Name): ESTHER JONAS DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/06/2006
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11555 UNIVERSITY BLVD
SUGAR LAND TX
77478-3889
US
IV. Provider business mailing address
7200 CAMBRIDGE ST
HOUSTON TX
77030-4202
US
V. Phone/Fax
- Phone: 713-442-9100
- Fax:
- Phone: 713-986-5534
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 0783 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213EP1101X |
| Taxonomy | Primary Podiatric Medicine Podiatrist |
| License Number | 0783 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 0783 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: