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

Jonathan Nathan, MD

Individual provider Plastic Surgery Physician · NPI 1134449374

Jonathan Nathan, MD is a Plastic and Reconstructive Surgery in Dallas, Texas. Qualified in 2010, 16 years ago. Practices with Legacy Dermatology , PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2010
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

3900 Junius St Ste 605
Dallas, TX 75246-1630
Phone: (214) 814-1711
Fax: (214) 292-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence T0295 (TX)

Record details

NPI number1134449374
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2010
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address3900 Junius St Ste 605, Dallas, TX 75246-1630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Legacy Dermatology ,Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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