Organization
SAILOR MOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JONES MD (OWNER/PHYSICIAN)
(214) 850-6123
Entity
Organization
Contact information
Practice address
2831 GEORGE BUSH HWY, RICHARDSON, TX 75082-3561
(765) 284-0493
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/16/2020
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