Individual
PHILLIP JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
514 S BONHAM ST, SUITE G, MEXIA, TX 76667-3600
(254) 562-5961
(254) 562-2813
Mailing address
514 S BONHAM ST, SUITE H, MEXIA, TX 76667-3600
(254) 562-5961
(254) 562-2813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G5232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114866007
—
TX
01
—
8S0928
BLUE CROSS
TX
Enumeration date
04/05/2006
Last updated
02/07/2014
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