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Individual

DR. JONATHAN W FONTENOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 4TH ST, LONGVIEW, TX 75605-5137
(903) 524-0317
(903) 553-7756
Mailing address
3000 4TH ST, LONGVIEW, TX 75605-5137
(903) 524-0917
(903) 553-7756

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K9533
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
K9533
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
K9533
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141243905
TX
Enumeration date
03/02/2006
Last updated
02/11/2026
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