Jason Fondrick, PA-C

NPI 1639621758 · on the registry since 2016

Practice

Address: 3030 North St Ste 430
Beaumont, TX 77702
Phone: (409) 899-2500
Organisation at this address: Timothy K. Colgan Md Pa
Kandaswamy Jayaraj Md Pa
Dominique J Beaudry Md Pa
Luis G. Taylor, M.D. Pllc
Beaumont Adult Medicine, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas