Provider Demographics
NPI:1194876243
Name:ANDRES, JASON B (DO)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:B
Last Name:ANDRES
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11103 LAGUNA MESA DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-8242
Mailing Address - Country:US
Mailing Address - Phone:808-748-9216
Mailing Address - Fax:
Practice Address - Street 1:11103 LAGUNA MESA DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8242
Practice Address - Country:US
Practice Address - Phone:808-748-9216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS - 1326207L00000X
TXP8441207L00000X
FLOS19568207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology