Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | P2465 | TX |
N | 111NI0900X | Internist | P2465 | TX |
Y | 207RX0202X | Medical Oncology | P2465 | TX |
NPI | 1104053735 |
---|---|
Provider Name | Catherine Anne Jones |
First Address | Lubbock, TX 79408-5865 |
Second Address | Lubbock, TX 79415-3364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 09/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3373490001 | (05) | TX |