Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MD434208 | PA |
N | 207L00000X | Anesthesiologist | N0143 | TX |
NPI | 1003073941 |
---|---|
Provider Name | Dr. Stephanie C Jones |
First Address | Dallas, TX 75390-9068 |
Second Address | Dallas, TX 75390-9068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 19/09/2016 |