Individual provider · Type 1 NPI

Jonathan Charles Malmrose, MD

General Practice Physician · Jbsa Lackland, TX

NPI number 1104528595 Active

Practice location

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638

Call (818) 269-9567 Map

Mailing address

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
General Practice Physician Primary 208D00000X0101283765 (VA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104528595

Jonathan Charles Malmrose, MD's National Provider Identifier is 1104528595, issued on Mar 20, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jun 15, 2026.