Individual
JONATHAN L REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18400 KATY FREEWAY, MEDICAL BUILDING 1 - SUITE 560, HOUSTON, TX 77094
(832) 522-3240
(281) 578-2404
Mailing address
18400 KATY FREEWAY, MEDICAL BUILDING 1 SUITE 560, HOUSTON, TX 77094
(832) 522-3240
(281) 578-2404
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K9641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162930504
—
TX
01
—
8CG799
BCBS OF TEXAS
TX
Enumeration date
08/09/2006
Last updated
06/27/2024
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