Individual
JOHN MARK JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 S MEDFORD DR, LUFKIN, TX 75901-6260
(936) 633-5676
Mailing address
2001 S MEDFORD DR, LUFKIN, TX 75901-6260
(936) 633-5676
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H8939
TX
2084P0804X
Child & Adolescent Psychiatry Physician
H8939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102257604
—
TX
01
—
260038562
RAILROAD MEDICARE
TX
01
—
82W960
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/05/2006
Last updated
01/31/2014
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