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

Jason Allen Fondrick, PA-C

Individual provider Physician Assistant · NPI 1639621758

Jason Allen Fondrick, PA-C is a Physician Assistant in Beaumont, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3030 N St Ste 430
Beaumont, TX 77702-1434
Phone: (409) 899-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10809 (TX)

Record details

NPI number1639621758
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESDecember 7, 2016

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