Individual
DR. JONATHAN ALEXANDER FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 UNIVERSITY DR E STE 425, BRYAN, TX 77802-3479
(979) 207-7400
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
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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