Individual
JAN-MICHAEL VAN GENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2013037319
MO
2086S0127X
Trauma Surgery Physician
Primary
T0969
TX
Other
Enumeration date
06/06/2012
Last updated
07/17/2023
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