Individual
JONATHAN RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-1000
Mailing address
532 TRAILRIDER RD, FORT WORTH, TX 76114-1154
(817) 996-6939
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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