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 access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
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 |
---|---|---|
208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 0102208354
VA |