Individual
JON P VERHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7167 COLLEYVILLE BLVD STE 102, COLLEYVILLE, TX 76034-8002
(817) 484-0169
(817) 809-7820
Mailing address
1717 WISTERIA WAY, WESTLAKE, TX 76262-9083
(206) 963-8714
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
44938
TN
208200000X
Plastic Surgery Physician
MD00045223
WA
208200000X
Plastic Surgery Physician
N1940
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
N1940
TX
Other
Enumeration date
08/31/2006
Last updated
08/05/2020
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