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

Jonathan Stephen Roth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255150538

Jonathan Stephen Roth is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 412-8687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18724
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255150538
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2024
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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