Individual
JONATHON STANLEY SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1509 DR. HOSPITAL DRIVE, BRIDGEPORT, TX 76426
(940) 683-0300
Mailing address
104 ELM COUNTRY DR, LA VERNIA, TX 78121-4805
(830) 688-3172
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
733352
TX
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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