Individual
DR. JONATHAN BLAKE PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-7208
(214) 648-3916
(214) 648-8423
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-3916
(214) 648-8423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.056823
IL
207P00000X
Emergency Medicine Physician
Primary
P2915
TX
Other
Enumeration date
10/04/2010
Last updated
08/30/2012
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