Individual
DR. JONATHAN STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-5494
Mailing address
6560 FANNIN ST STE 1404, HOUSTON, TX 77030-2706
(914) 413-6581
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
287113
NY
208600000X
Surgery Physician
T4468
TX
2086S0102X
Surgical Critical Care Physician
T4468
TX
Other
Enumeration date
06/29/2015
Last updated
02/04/2026
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