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Individual
SHAWN MICHAEL JONES
Active
Individual
SHAWN MICHAEL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750383386
MEDICARE GROUP PIN
TX
05
—
296100505
—
TX
01
—
75-2616977-015
TRICARE
TX
01
—
75-2616977-126
TRICARE
TX
01
—
P01291265
RAIL ROAD MEDICARE
TX
Enumeration date
08/11/2010
Last updated
12/21/2016
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