Individual
DR. JON E NATHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
810 N ZANG BLVD, DALLAS, TX 75208-4233
(214) 941-4243
(214) 941-1153
Mailing address
14691 KELMSCOT DR, FRISCO, TX 75035-7291
(214) 691-0760
(214) 691-5434
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K6747
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
01/09/2007
Last updated
06/20/2014
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