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Individual

JONATHAN C SCHNITKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2294
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
(817) 321-0390

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
19355
OK
2085R0202X
Diagnostic Radiology Physician
Primary
H4679
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100155830A
OK
01
300049692
RAILROAD MEDICARE
OK
01
300129651
RAILROAD MEDICARE
OK
01
383665798001
BCBS OF OK - CT TULSA LLC
OK
Enumeration date
11/21/2005
Last updated
11/25/2024
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