Jonathan Edwin Conrad in Crowley - Orthopedic
Jonathan Edwin Conrad - NPI 1811908411
Jonathan Edwin Conrad is a Orthopedic in Crowley, Texas. Jonathan Edwin Conrad practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jonathan Edwin Conrad is 1811908411. The last update date is 2021-01-18.
Jonathan Edwin Conrad's current location address is 775 E Fm 1187, Crowley, Texas. You can contact this provider via phone number 8172979670 and fax number 8172979878. The mailing address for Jonathan Edwin Conrad is 775 E Fm 1187, Crowley, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Edwin Conrad |
|---|---|
| Address | 775 E Fm 1187, Crowley, Texas |
| Phone Number | 8172979670 |
| Fax Number | 8172979878 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1811908411 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2021-01-18 |
Provider Mailing Address Detail
| Address | 775 E Fm 1187 |
|---|---|
| City | Crowley |
| State | Texas (TX) |
| Post Code | 760364346 |
| Phone Number | 8172979670 |
| Fax Number | 8172979878 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 1159579 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 189064201 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jonathan Edwin Conrad by the Centers for Medicare & Medicaid Services?
The Jonathan Edwin Conrad has been issued the NPI (National Provider Identifier) 1811908411, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jonathan Edwin Conrad's facilities are situated?
The facilities of Jonathan Edwin Conrad are physically located at the following address: 775 E Fm 1187, Crowley, TX, 760364346.
What is Jonathan Edwin Conrad's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jonathan Edwin Conrad's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811908411 to Jonathan Edwin Conrad?
The Centers for Medicare & Medicaid Services originally issued the 1811908411 to Jonathan Edwin Conrad on 2006-08-10.
As of what date were the details pertaining to Jonathan Edwin Conrad last refreshed?
The information related to the Jonathan Edwin Conrad, including its address, specialty, and other relevant details, was last updated on 2021-01-18.