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Individual

DR. JONATHAN DANIEL PANKOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13656 BRETON RIDGE ST # AH, HOUSTON, TX 77070-6081
(281) 429-8780
(281) 763-7930
Mailing address
13656 BRETON RIDGE ST # AH, HOUSTON, TX 77070-6081
(281) 429-8780
(281) 763-7930

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-39389
KS
207RN0300X
Nephrology Physician
Primary
S5041
TX

Other

Enumeration date
07/01/2014
Last updated
07/07/2021
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