Individual
MARY ALICE BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 E. COMMERCE, JACKSONVILLE, TX 75766
(903) 586-6191
(903) 586-3572
Mailing address
PO BOX 1108, JACKSONVILLE, TX 75766
(903) 586-6191
(903) 586-3572
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
C4946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130736505
—
TX
01
—
PH0717
MEDICARE PTAN
TX
Enumeration date
04/19/2007
Last updated
07/15/2015
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