Individual
JONATHAN NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 HARRY HINES BLVD, DALLAS, TX 75390-1838
(214) 648-3916
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S5718
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
S5718
TX
Other
Enumeration date
05/04/2015
Last updated
02/24/2026
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