Organization Active NPI

Emerardo Falcon Jr., M.D., P.a.

  • Hematology & Oncology Physician
  • Lake Jackson, TX
National Provider Identifier
1003819541
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G3343 Issued in TX
Legal business name
EMERARDO FALCON JR., M.D., P.A.
Practice address
100B Medical Dr
Lake Jackson, TX 77566-5674
Phone
(979) 297-6401
Fax
(979) 297-6809
NPI assigned
May 29, 2005
Last updated
Jul 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emerardo Falcon Jr., M.D.NPI 1558381723
Title
Owner
Phone
(979) 297-6401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G3343 TX Primary

Addresses

Primary practice location

100B Medical Dr
Lake Jackson, TX 77566-5674

Mailing address

100B Medical Dr
Lake Jackson, TX 77566-5674
Phone (979) 297-6401

Other names 1

  • Brazosport Hematology Oncology Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1003819541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-297-6401",
            "fax_number": "979-297-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100B MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-297-6401",
            "fax_number": "979-297-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERARDO FALCON JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-29",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "EMERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-297-6401",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "G3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazosport Hematology Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.