Organization
NACOGDOCHES GI CONSULTANTS PLLC
Active
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
Update your record
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