Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | F7797 | TX |
NPI | 1174618771 |
---|---|
Provider Name | Richard O Jones |
First Address | Dallas, TX 75284-4658 |
Second Address | Round Rock, TX 78665-1032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 17/09/2020 |