MEDICARE: DR. JASON DENNIS BARON M.D.

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	171M00000X	Case Manager/Care Coordinator
2	2084P0800X	Psychiatry Physician	D4027	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10016099	OTHER	TX	AMERIGROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1000283	OTHER	TX	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1104865260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON DENNIS BARON M.D.

Provider Business Mailing Address
First Line	:	5500 GUHN RD
Second Line	:	STE 100
City	:	HOUSTON
State	:	TX
Zip	:	77040-6162
Country	:	US
Telephone Number	:	713-783-8889
Fax Number	:	713-953-0471

Provider Business Practice Location Address
First Line	:	5500 GUHN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-6161
Country	:	US
Telephone Number	:	713-783-8889
Fax Number	:	713-953-0471

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	06/06/2024

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