Individual ProviderJonathan SpicerThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansPractice Address1515 Holcombe Blvd Unit 1489, Department Of Thoracic And Cardiovascular Surgery, Houston, TX 77030-4000(832) 581-1780PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Spicer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1326470592Provider TypeIndividualFull NameSpicer, JonathanTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date7/30/2013Last Updated7/30/2013Contact InformationPractice LocationPractice Address1515 Holcombe Blvd Unit 1489, Department Of Thoracic And Cardiovascular Surgery, Houston, TX 77030-4000Phone(832) 581-1780FaxUnlisted FaxMailing LocationMailing Address1333 Old Spanish Trl, Apt. 4179, Houston, TX 77054-1849Phone(832) 581-1780FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208G00000XPrimaryDescriptionThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic PhysiciansLicenseBP10046002Texas