Jonathan G Wash Dpm Pa

LBN: Jonathan G Wash Dpm Pa
Jonathan G Wash Dpm Pa is an health care organization with primary practice located at 6609 Sanger Ave , Waco TX 76710-4252. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Jonathan G Wash Dpm Pa can be contacted via phone (254) 741-1824, or through Wash, Jonathan Gordon via phone (254) 741-1824.

Contact Information

Primary practice address
6609 Sanger Ave Waco TX 76710-4252
Phone: (254) 741-1824
Fax: (254) 741-1836
Website:
Map and Directions
Authorized official contact:
Name: Wash, Jonathan Gordon Doctor of Podiatric Medicine (DPM)
Phone: (254) 741-1824

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1639122708
LBN Legal business name Jonathan G Wash Dpm Pa
DBA Doing business as
Authorized official Wash, Jonathan Gordon Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Jun 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639122708 NPPES
Texas MEDICAID 178105601

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