Individual
DR. JONATHAN EDWIN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
775 E FM 1187, CROWLEY, TX 76036-4346
(817) 297-9670
(817) 297-9878
Mailing address
775 E FM 1187, CROWLEY, TX 76036-4346
(817) 297-9670
(817) 297-9878
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1159579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189064201
—
TX
Enumeration date
08/10/2006
Last updated
01/18/2021
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