Individual
DR. JONATHAN ALEXANDER FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M1685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176572902
—
TX
01
—
8U5901
BLUE CROSS PROVIDER NUMBE
TX
01
—
P00294339
MEDICARE RAILROAD
TX
Enumeration date
08/17/2006
Last updated
02/27/2024
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