Provider Demographics
NPI:1871156141
Name:TAFFET, JASON DAVID (DO)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:DAVID
Last Name:TAFFET
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18400 KATY FWY
Mailing Address - Street 2:MOB1
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77094
Mailing Address - Country:US
Mailing Address - Phone:832-522-8444
Mailing Address - Fax:
Practice Address - Street 1:18400 KATY FWY STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1298
Practice Address - Country:US
Practice Address - Phone:832-522-8444
Practice Address - Fax:832-522-8445
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT7370207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine