Organization · NPI-2

Jonathan A. Friedman, M.D., PLLC

Physician Assistant · Bryan, TX

NPI number1629127212
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1629127212
Entity type
Organization (NPI-2)
Legal business name
Jonathan A. Friedman, M.D., PLLC
Organization subpart
No
Enumeration date
Jan 10, 2007
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
207T00000X Neurological Surgery––

Practice location

3201 University Dr E
Ste 410
Bryan, TX 77802-3475

Phone 979-776-8896

Mailing address

3201 University Dr E
Ste 410
Bryan, TX 77802-3475

Authorized official

Jonathan A Friedman
President
9797746633

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