JONATHAN STEPHEN ROTH

DALLAS, TX
NPI1255150538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   PA18724)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-10-04
Last Update Date2025-05-20
Business Address
JONATHAN STEPHEN ROTH
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-412-8687
Mailing Address
JONATHAN STEPHEN ROTH
3531 BRIARGROVE LN
DALLAS, TX 75287-6003
Phone number: 214-412-8687