Individual
JOHN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 325-7861
(940) 328-6523
Mailing address
400 SW 25TH AVE, MINERAL WELLS, TX 76067-8246
(940) 325-7861
(940) 328-6523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J8612
TX
207Q00000X
Family Medicine Physician
J8612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080156466
MEDICARE RAILROAD
TX
05
—
130866003
—
TX
Enumeration date
05/12/2006
Last updated
04/28/2017
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