Fondrick, Jason Allen

Fondrick, Jason Allen is an individual health care provider with primary practice located at 3030 North St Ste 430 , Beaumont TX 77702-1434. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fondrick, Jason Allen can be contacted via phone (409) 899-2500.

Contact Information

Primary practice address
3030 North St Ste 430 Beaumont TX 77702-1434
Phone: (409) 899-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10809 Texas

Profile Details

NPI number 1639621758
LBN Legal business name Fondrick, Jason Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2016
Last updated Dec 7th, 2016 - about 10 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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