Individual
DR. JON VANDEVENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SOUTH LANCASTER RD, DALLAS VA - 128, DALLAS, TX 75216
(214) 857-1757
Mailing address
4500 SOUTH LANCASTER ROAD, DALLAS VA - 128, DALLAS, TX 75216
(214) 857-1757
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
G7958
TX
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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