Individual
PHILLIP JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4260 RR 967, BUDA, TX 78610
(512) 268-2141
Mailing address
303 RANGER DR, BUDA, TX 78610-2539
(512) 923-9527
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060102096
TX
2255A2300X
Athletic Trainer
2927
TX
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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