Provider Demographics
NPI:1558670554
Name:DOLLAR, JONATHAN DOLCE (LAC)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:DOLCE
Last Name:DOLLAR
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 RANCH ROAD 2222
Mailing Address - Street 2:APT. 2016
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1200
Mailing Address - Country:US
Mailing Address - Phone:318-554-9206
Mailing Address - Fax:
Practice Address - Street 1:1015 W LYNN ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-3948
Practice Address - Country:US
Practice Address - Phone:512-705-1960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist