Provider Demographics
NPI:1922366145
Name:POSEY, JONATHAN NICHOLAS (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:NICHOLAS
Last Name:POSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 SETON PKWY STE 260
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6182
Mailing Address - Country:US
Mailing Address - Phone:512-720-6044
Mailing Address - Fax:512-674-0415
Practice Address - Street 1:1180 SETON PKWY STE 260
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6182
Practice Address - Country:US
Practice Address - Phone:512-720-6044
Practice Address - Fax:512-674-0415
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX362998204Medicaid
TX362998205Medicaid