Individual
JARED PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(432) 894-9845
Mailing address
2301 W ROSEDALE ST S, FORT WORTH, TX 76110-1137
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1227872
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
944353
TX
Other
Enumeration date
12/16/2025
Last updated
02/24/2026
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