Jonathan R Corsini
General Practice Physician
2200 Bergquist Drive, 59 Mdw/gme Wilford Hall Ambulatory Surgical Center
Jbsa-Fort Sam Houston
, Texas 78236-9908
Jonathan R Corsini
General Practice Physician
2200 Bergquist Drive, 59 Mdw/gme Wilford Hall Ambulatory Surgical Center
Jbsa-Fort Sam Houston
, Texas 78236-9908
(210) 292-7868
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jonathan R Corsini
- 2200 Bergquist Drive, 59 Mdw/gme Wilford Hall Ambulatory Surgical Center
- Jbsa-Fort Sam Houston, TX
- Zip : 78236-9908
- Fax : (210) 292-7868
- Phone : (210) 292-5077
Second Address
- Jonathan R Corsini
- 2200 Bergquist Drive, 59 Mdw/gme Wilford Hall Ambulatory Surgical Center
- Jbsa-Fort Sam Houston, TX
- Zip : 78236-9908
- Fax : (210) 292-7868
- Phone : (210) 292-5077
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 28984 | NE |
National Provider Identifier
| NPI | 1013334945 |
|---|---|
| Provider Name | Jonathan R Corsini |
| First Address | Jbsa-Fort Sam Houston, TX 78236-9908 |
| Second Address | Jbsa-Fort Sam Houston, TX 78236-9908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2014 |
| Last Update Date | 07/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.