Organization
CASEY JONES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KOVAC (OWNER)
(999) 999-9999
Entity
Organization
Contact information
Practice address
21300 PROVINCIAL BLVD STE 200, KATY, TX 77450-7580
(480) 626-1746
Mailing address
2120 E KAIBAB PL, CHANDLER, AZ 85249-5492
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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