Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack MA

Individual provider Athletic Trainer · NPI 1255994794

Jack MA is an Ophthalmology in Houston, Texas. Graduated from University of Texas Medical School at Houston in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Trained at
University of Texas Medical School at Houston
Licensed in
TX
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1504 Taub Loop Fl 18
Houston, TX 77030-1608
Phone: (713) 873-8890
Fax: (713) 795-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2351 Clay St Ste 380, San Francisco, CA 94115-1931 — (415) 600-6000
  • 1977 Butler Blvd Fl 2, Houston, TX 77030-4101 — (713) 798-6100
  • 6400 Fannin Street, Houston, TX 77030-5389 — (713) 559-5200

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence U3930 (TX)
Athletic Trainer Taxonomy 2255A2300X · Licence U3930 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255994794
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023
Mailing address1504 Taub Loop Fl 18, Houston, TX 77030-1608

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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