Individual
JONATHAN TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 S GENERAL MCMULLEN DR STE 101, SAN ANTONIO, TX 78237-4219
(210) 823-1078
Mailing address
1302 S GENERAL MCMULLEN DR STE 101, SAN ANTONIO, TX 78237-4219
(210) 823-1078
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3400811
TX
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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