# JONATHAN G WASH DPM PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639122708
- **Authorized official:** JONATHAN GORDON WASH D.P.M. (OWNER)
- **Authorized official phone:** (254) 741-1824

## Contact information

- **Practice address:** 6609 SANGER AVE, WACO, TX 76710-4252
- **Practice address phone:** (254) 741-1824
- **Practice address fax:** (254) 741-1836
- **Mailing address:** 6609 SANGER AVE, WACO, TX 76710-4252
- **Mailing address phone:** (254) 741-1824
- **Mailing address fax:** (254) 741-1836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 06/20/2011