Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 0783 | TX |
Y | 213ES0103X | Foot & Ankle Surgery | 0783 | TX |
NPI | 1144309428 |
---|---|
Provider Name | Esther Jonas |
First Address | Pearland, TX 77584-7298 |
Second Address | Sugar Land, TX 77478-3889 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 24/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
121587307 | (05) | TX |
121587308 | (05) | TX |
121587309 | (05) | TX |