Provider / Organization | NPI | Date Certified |
---|---|---|
JONATHAN Z POLLARD | 1265174320 | 2022-04-10 |
Jonathan Z Pollard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265174320. Registration indicates Jonathan Z Pollard is a provider of services with a specialization in Other Service Providers, Military Health Care Provider (Military Health Care Provider, ) (Military Health Care Provider, Other Service Providers)
Entity Type | Individual |
Provider Name | Jonathan Z Pollard DO |
Practice Office Address | 3551 ROGER BROOKE DR FORT SAM HOUSTO, TX US |
Practice Office Telephone | 2109164141 |
Mailing Address | 3551 ROGER BROOKE DR JBSA FT SAM HOUSTON, TX 782344504 US |
Code | Practice | License No State |
---|---|---|
171000000X PRIMARY | Other Service Providers Military Health Care Provider Military Health Care Provider Military Health Care Provider Other Service Providers |