JONATHAN SIDLE

SAN ANTONIO, TX
NPI1750996534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP1028619)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TX  792196)
Enumeration Date2020-09-09
Last Update Date2021-02-25
Business Address
JONATHAN SIDLE
9410 DUGAS DR
SAN ANTONIO, TX 78245-1869
Phone number: 210-756-6235
Mailing Address
JONATHAN SIDLE
9410 DUGAS DR
SAN ANTONIO, TX 78245-1869
Phone number: 210-756-6235