MEDICARE: MR. JASON MATTHEW MAYORGA

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1225317522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JASON MATTHEW MAYORGA

Provider Business Mailing Address
First Line	:	4901 CALHOUN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 CALHOUN RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-2612
Country	:	US
Telephone Number	:	713-743-2020
Fax Number	:

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

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

Similar Medicare Providers

1972506210 — DR. ANASTAS PASS O.D.
Practice Location Address:

4901 CALHOUN RD
HOUSTON, TX
77004-2612

Practice Phone: 713-743-2020
Practice Fax: 713-743-0963

1902933484 — LISA ANNE OSTRIN O.D.
Practice Location Address:

4901 CALHOUN RD
HOUSTON, TX
77004-2612

Practice Phone: 713-857-9983
Practice Fax:

1134408370 — JASON CAMERON BRIGGS
Practice Location Address:

4901 CALHOUN RD
HOUSTON, TX
77004-2612

Practice Phone: 402-517-5132
Practice Fax:

1457751323 — KAREN TAI
Practice Location Address:

4901 CALHOUN RD
HOUSTON, TX
77004-2612

Practice Phone: 713-743-2020
Practice Fax:

1245856376 — ELEINA M FABER FNP
Practice Location Address:

6701 FANNIN ST STE 1250
HOUSTON, TX
77030-2612

Practice Phone: 832-822-1750
Practice Fax:

1083617914 — DR. PHILLIP G SUTTON M.D.
Practice Location Address:

17203 RED OAK DR , SUITE 103
HOUSTON, TX
77090-2612

Practice Phone: 281-893-2288
Practice Fax: 281-893-2882

Directions to “ MR. JASON MATTHEW MAYORGA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.