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Individual

CHRISTOPHER JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSE PROVIDER

Contact information

Practice address
6405 GREENBRIAR LN, FORT WORTH, TX 76132-3037
(817) 991-2768
(817) 534-5771
Mailing address
6405 GREENBRIAR LN, FORT WORTH, TX 76132-3037
(817) 991-2768
(817) 534-5771

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
146250
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477832681
NPI
TX
01
310400000X
TAXONOMY
TX
01
453547300
TAX ID
TX
Enumeration date
10/18/2018
Last updated
03/20/2022
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