Individual
JERAL L AHTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 W HIGHWAY 243, KAUFMAN, TX 75142-1861
(972) 932-7200
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J6845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U52C
BCBS
TX
Enumeration date
05/24/2006
Last updated
02/01/2008
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