Provider Demographics
NPI:1447261029
Name:JONES, WENDELL EMMETT HARRISON (MD MBA)
Entity type:Individual
Prefix:
First Name:WENDELL
Middle Name:EMMETT HARRISON
Last Name:JONES
Suffix:
Gender:M
Credentials:MD MBA
Other - Prefix:
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Mailing Address - Street 1:2301 E LAMAR BLVD
Mailing Address - Street 2:STE 650
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006
Mailing Address - Country:US
Mailing Address - Phone:817-652-1111
Mailing Address - Fax:817-385-7700
Practice Address - Street 1:2301 E LAMAR BLVD
Practice Address - Street 2:STE 650
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006
Practice Address - Country:US
Practice Address - Phone:817-652-1111
Practice Address - Fax:817-385-7700
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK7035207R00000X
FLME49484207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine