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Individual

SHELTON K JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6020 W PARKER RD STE 470, PLANO, TX 75093
(972) 608-8868
(972) 608-0366
Mailing address
6020 W PARKER RD STE 470, PLANO, TX 75093-8338
(972) 608-8868
(972) 608-0366

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA04684
TX
363AS0400X
Surgical Physician Assistant
Primary
PA04684
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8N9217
BLUE CROSS
TX
Enumeration date
09/19/2006
Last updated
08/29/2018
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