Individual
JONATHAN PATRICK BEHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 BLOSSOM ST, WEBSTER, TX 77598-4210
(281) 332-9537
Mailing address
520 BLOSSOM ST, WEBSTER, TX 77598-4210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A178753
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
U5355
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790214195
—
TX
01
—
PENDING
MO LICENSE
MO
05
—
PENDING
—
MO
Enumeration date
06/08/2017
Last updated
05/01/2024
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