Conrad, Jason Albert

Conrad, Jason Albert is an individual health care provider with primary practice located at 815 Pennsylvania Ave , Fort Worth TX 76104-2224. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Conrad, Jason Albert can be contacted via phone (817) 321-0312.

Contact Information

Primary practice address
815 Pennsylvania Ave Fort Worth TX 76104-2224
Phone: (817) 321-0312
Fax: (817) 317-7033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M1598 Texas
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X M1598 Texas
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X M1598 Texas
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X M1598 Texas
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X M1598 Texas

Profile Details

NPI number 1730383829
LBN Legal business name Conrad, Jason Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Aug 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730383829 NPPES
Texas Other M1598 TX LICENSE

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