Jason Balette MD PA
Organization Active NPI Surgery Physician · Woodlands, TX
NPI 1609804681 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1609804681
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- M2254 (TX)
- Legal business name
- JASON BALETTE MD PA
- Practice address
- 9200 Pinecroft Dr
Ste 250
Woodlands, TX 77380-3279 - Phone
- (281) 419-8400
- Fax
- (281) 292-1972
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jason Balette, MD
- Title
- Director
- Phone
- (281) 419-8400
Practitioners 2
-
Jason Balette, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061013000314 | TX | Part B Supplier - Clinic/Group Practice | 5698771632 |
Receives reassigned benefits from 2 practitioners Practice locations: The Woodlands, TX; Willis, TX; Shenandoah, TX; Houston, TX; Conroe, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | M2254 | TX | Yes |
Addresses
Primary practice location
9200 Pinecroft Dr
Ste 250
Woodlands, TX 77380-3279
Mailing address
9200 Pinecroft Dr
Ste 250
Woodlands, TX 77380-3279
Phone (281) 419-8400
Other providers in Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.