Individual
JONATHAN GORDON WASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5100 FRANKLIN AVE, SUITE C, WACO, TX 76710-6922
(254) 741-1824
(254) 754-2667
Mailing address
5100 FRANKLIN AVE, SUITE C, WACO, TX 76710-6922
(254) 741-1824
(254) 754-2667
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178106401
—
TX
Enumeration date
11/23/2005
Last updated
08/26/2015
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