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Individual

DR. JOHNNY W JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 COLLEGE DR, TEXARKANA, TX 75503-3536
(903) 791-1110
(903) 791-9353
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E7129
TX
261QA0005X
Ambulatory Family Planning Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E7129
MEDICAL LICENSE
TX
01
R-3058
MEDICAL LICENSE
AR
Enumeration date
08/04/2005
Last updated
06/13/2024
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