Individual
DR. JASON MICHAEL BODIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST, MSB 4.020, HOUSTON, TX 77030-1501
(713) 500-7200
(713) 500-7213
Mailing address
6431 FANNIN ST, MSB 4.020, HOUSTON, TX 77030-1501
(713) 500-7200
(713) 500-7213
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R6344
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
R6344
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
02/06/2026
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