Individual
DR. JONATHAN DEAN BRESHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R5979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386833301
—
TX
05
—
386833302
—
TX
01
—
8JM816
BCBS
TX
Enumeration date
04/04/2012
Last updated
09/25/2018
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