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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124523121

Jonathan Grant Mondragon is a Student in an Organized Health Care Education/Training Program in Temple, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2401 S 31st Street MS-AG-407Q
Temple, TX 76508-0001
Phone: (254) 724-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence T0574 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124523121
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing addressPo Box 844658, Dallas, TX 75284-4658

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