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Johnathan Mark Chambers

Student in an Organized Health Care Education/Training Program in Conroe, TX. Individual provider (NPI-1).

NPI number1104773076
StatusActive
Last updated in NPPESMar 11, 2026

Details

NPI
1104773076
Entity type
Individual (NPI-1)
Name
Johnathan Mark Chambers
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2026
Certification date
Mar 11, 2026
Last updated
Mar 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

925 City Central Ave
Conroe, TX 77304-2981

Phone 903-466-1540

Mailing address

925 City Central Ave
Conroe, TX 77304-2981

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