IndividualActive
Jon Nathanson, DPM
NPI 1164571360 · Foot Surgery Podiatrist · Dallas, TX
Provider details
- NPI number
- 1164571360
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 1027 (TX)
Practice location
810 N Zang Blvd
Dallas, TX 75208-4233
Phone: (214) 941-4243
Fax: (214) 941-1153
Mailing address
14691 Kelmscot Dr
Frisco, TX 75035-7291
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2014-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.