Individual
JONATHAN CAMPBELL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M6796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194385402
—
TX
05
—
194385404
—
TX
01
—
8AT992
BCBS
TX
Enumeration date
05/18/2007
Last updated
06/14/2021
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