Organization
JONATHAN REDMON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN LEWIS REDMON MD (PRESIDENT)
(832) 644-1804
Entity
Organization
Contact information
Practice address
18955 N MEMORIAL DR, SUITE 330, HUMBLE, TX 77338-4263
(832) 644-1804
(832) 644-1876
Mailing address
18955 N MEMORIAL DR, SUITE 330, HUMBLE, TX 77338-4263
(832) 644-1804
(832) 644-1876
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072TE
BCBS OF TEXAS
TX
05
—
216154902
—
TX
Enumeration date
02/24/2010
Last updated
12/18/2013
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