Individual
JACOB JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 DALLAS PKWY, FRISCO, TX 75034-9580
(469) 515-7222
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
(214) 443-7309
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
S6219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912391152
—
TX
Enumeration date
03/25/2015
Last updated
12/28/2020
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