DR. Jonathan W Fontenot, MD

NPI #1275500811 in Longview, Texas

Provider Information

NPI Number: 1275500811
Entity Type: Individual
Name: DR. Jonathan W Fontenot, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Mar 2, 2006
Last Updated: Aug 11, 2020

Practice Location

Address: 323 E HAWKINS PKWY STE A
City: Longview
State: Texas
ZIP Code: 75605-8162
Phone: (903) 758-2746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Orthopaedic Surgery	207X00000X	Primary

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