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

Jay S Jeon

Individual provider Hospitalist Physician · NPI 1174268650

Jay S Jeon is a Pediatric Medicine in Prosper, Texas. Graduated from University of Texas Medical School at San Antonio in 2022, 4 years ago. Licensed in Texas.

Years since qualifying
4
Trained at
University of Texas Medical School at San Antonio
Licensed in
TX
In the registry since
2022

Practice location Address checks out

4100 W University Dr
Prosper, TX 75078-3123
Phone: (945) 204-4100
Fax: (682) 303-3880
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence V6321 (TX)

Record details

NPI number1174268650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2022
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing addressPo Box 733784, Dallas, TX 75373-3784

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Prosper