Provider Demographics
NPI:1184782120
Name:SPIERS, JON PHILLIP SR (MD JD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:PHILLIP
Last Name:SPIERS
Suffix:SR
Gender:M
Credentials:MD JD
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Mailing Address - Street 1:3313 CASON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3842
Mailing Address - Country:US
Mailing Address - Phone:832-413-1205
Mailing Address - Fax:713-667-4833
Practice Address - Street 1:2617C W HOLCOMBE BLVD # 411
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1601
Practice Address - Country:US
Practice Address - Phone:832-413-1077
Practice Address - Fax:866-633-8771
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2024-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM9673204F00000X, 2086S0129X, 208G00000X
TXM9763208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G33377Medicare UPIN