Jonathan Ridenour, Pa

LBN: Jonathan Ridenour, Pa
Jonathan Ridenour, Pa is an health care organization with primary practice located at 4801 Troup Hwy Ste 502 , Tyler TX 75703-2357. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Jonathan Ridenour, Pa can be contacted via phone (972) 424-9212, or through Bice, Michelle via phone (903) 630-5788.

Contact Information

Primary practice address
4801 Troup Hwy Ste 502 Tyler TX 75703-2357
Phone: (972) 424-9212
Fax: (972) 509-1450
Website:
Map and Directions
Authorized official contact:
Name: Bice, Michelle
Phone: (903) 630-5788

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1699233403
LBN Legal business name Jonathan Ridenour, Pa
DBA Doing business as
Authorized official Bice, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2019
Last updated Sep 18th, 2023 - about 3 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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