Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD2015-0412 | NM |
Y | 111NI0900X | Internist | MD2015-0412 | NM |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD.199997 | LA |
NPI | 1053503540 |
---|---|
Provider Name | Rhoda R Jones |
First Address | Houma, LA 70360 |
Second Address | Lovington, NM 88260-2830 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2007 |
Last Update Date | 02/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1075141 | (05) | LA |