Individual
DR. JONATHAN POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14514 EMMA SPRINGS CT, HUMBLE, TX 77396-4893
(801) 664-5260
Mailing address
14514 EMMA SPRINGS CT, HUMBLE, TX 77396-4893
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V7279
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
V7279
TX
Other
Enumeration date
03/29/2022
Last updated
09/09/2025
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