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Organization
MICHAEL E JONES MD PA
Active
Organization
MICHAEL E JONES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXIE N RODRIGUEZ (OFFICE MANAGER)
(979) 774-1500
Entity
Organization
Contact information
Practice address
1121 BRIARCREST DR, SUITE 303, BRYAN, TX 77802-2505
(979) 774-1500
(979) 774-7160
Mailing address
1121 BRIARCREST DR, SUITE 303, BRYAN, TX 77802-2505
(979) 774-1500
(979) 774-7160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140299208
—
TX
01
—
140299236
MEDICAID TEXAS HEALTHSTEP
TX
Enumeration date
02/15/2007
Last updated
01/13/2010
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