Basic Information
Provider Information
NPI: 1083641880
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JON
FirstName: CINDY
MiddleName: KAM-TAI
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6431 FANNIN
Address2: MSB 3.228
City: HOUSTON
State: TX
PostalCode: 77030
CountryCode: US
TelephoneNumber: 7135005650
FaxNumber: 7135000588
Practice Location
Address1: 6431 FANNIN
Address2: MSB 3.228
City: HOUSTON
State: TX
PostalCode: 77030
CountryCode: US
TelephoneNumber: 7135005650
FaxNumber: 7135000588
Other Information
ProviderEnumerationDate: 06/27/2006
LastUpdateDate: 09/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XL7766TXN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0214XL7766TXN Allopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
2080S0012XL7766TXY Allopathic & Osteopathic PhysiciansPediatricsSleep Medicine

No ID Information.


Home