Individual
RICHARD EDWARD JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5920 FOREST PARK RD, STE 600, DALLAS, TX 75235-6416
(214) 902-1556
Mailing address
PO BOX 660046, DALLAS, TX 75266-0046
(214) 369-8555
(214) 369-2683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D4790
TX
207XS0106X
Orthopaedic Hand Surgery Physician
D4790
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
D4790
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
D4790
TX
207XX0801X
Orthopaedic Trauma Physician
D4790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123892504
—
TX
01
—
89035F
BCBS
TX
Enumeration date
06/23/2005
Last updated
05/07/2008
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