Provider Demographics
NPI:1740168418
Name:KARON, JAMAL J
Entity type:Individual
Prefix:
First Name:JAMAL
Middle Name:J
Last Name:KARON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9415 PANTHER CREEK PKWY APT 1225
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1121
Mailing Address - Country:US
Mailing Address - Phone:945-400-3838
Mailing Address - Fax:
Practice Address - Street 1:9415 PANTHER CREEK PKWY APT 1225
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-1121
Practice Address - Country:US
Practice Address - Phone:945-400-3838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker