Organization
NACOGDOCHES GI CONSULTANTS PLLC
Active
Other names
Carl Jones
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRAH OWEN (OFFICE MANAGER)
(936) 569-2000
Entity
Organization
Contact information
Practice address
522 RUSSELL BLVD, NACOGDOCHES, TX 75965
(936) 569-6449
(936) 569-2458
Mailing address
522 RUSSELL BLVD, NACOGDOCHES, TX 75965-1244
(936) 569-2000
(936) 569-2002
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
P2129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DC401
BC/BS TEXAS
TX
Enumeration date
01/13/2012
Last updated
07/21/2022
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