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JONATHAN ALEXANDER CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
209 N BONNIE BRAE ST STE 200, DENTON, TX 76201-3748
(940) 281-1221
Mailing address
209 N BONNIE BRAE ST STE 200, DENTON, TX 76201-3748
(940) 281-1221

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.148057
IL
207L00000X
Anesthesiology Physician
S5584
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
036.148057
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
S5584
TX

Other

Enumeration date
04/20/2015
Last updated
08/11/2025
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