Individual
DR. JONATHAN PATRICK CARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1135 KINWEST PKWY, SUITE 100, IRVING, TX 75063-3409
(972) 432-2020
(972) 432-2023
Mailing address
1135 KINWEST PKWY, SUITE 100, IRVING, TX 75063-3409
(972) 432-2020
(972) 432-2023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6294TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160612101
—
TX
Enumeration date
07/11/2006
Last updated
01/13/2015
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