Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Charles Malmrose, MD

Individual provider Military Health Care Provider · NPI 1104528595

Jonathan Charles Malmrose, MD is a Military Health Care Provider in Jbsa Lackland, Texas. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (818) 269-9567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101283765 (VA)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1104528595
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address3551 Roger Brooke Dr, San Antonio, TX 78234-4504

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