Organization
JOHNNA JONES DO FACOS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA JONES (MD)
(817) 237-6311
Entity
Organization
Contact information
Practice address
800 8TH AVE STE 116, FORT WORTH, TX 76104-2606
(817) 237-6311
Mailing address
5204 LONG SHOT RD, FORT WORTH, TX 76114-1253
(817) 237-6311
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114997186
NPI INDIVIDUAL
—
Enumeration date
11/07/2019
Last updated
09/22/2021
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