Individual
DR. JONATHAN SRICHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 MEDICAL CENTER RD, FORT CAVAZOS, TX 76544-5060
(254) 553-1363
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C200352
CA
207P00000X
Emergency Medicine Physician
R9149
TX
Other
Enumeration date
05/20/2015
Last updated
02/27/2025
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