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Individual
TAE DANIEL JONES
Active
Individual
TAE DANIEL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
644451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157890802
—
TX
05
—
157890804
—
TX
05
—
157890805
—
TX
05
—
200010660A
—
OK
01
—
83825U
BLUE CROSS BLUE SHIELD
TX
01
—
89625U
BCBS
TX
01
—
P00119641
RAILROAD MEDICARE
TX
01
—
P00957424
RAILROAD
TX
Enumeration date
07/05/2006
Last updated
09/20/2013
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