Most Relevant Information
Provider Data
| NPI Number: | 1003568452 |
| Provider Name: | JONATHON THAI NGO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/26/2022 |
| Last Updated: | 01/26/2022 |
Provider Practice Location
255 LEBANON ROAD
UNIT 132
FRISCO
TX
75036
Practice Location Phone/Fax
| Phone: | 4693104400 |
| Fax: |
Provider Mailing Location
2293 HAWES AVE APT 1427
DALLAS
TX
752354646
Provider Mailing Phone/Fax
| Phone: | 8325414359 |
| Fax: |