Provider Demographics
NPI:1447445168
Name:BILL JONES, D.O., P.A.
Entity type:Organization
Organization Name:BILL JONES, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM (BILL)
Authorized Official - Middle Name:W
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-548-6985
Mailing Address - Street 1:120 S CENTRAL EXPY STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3753
Mailing Address - Country:US
Mailing Address - Phone:972-548-6985
Mailing Address - Fax:972-548-0440
Practice Address - Street 1:120 S CENTRAL EXPY STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3753
Practice Address - Country:US
Practice Address - Phone:972-548-6985
Practice Address - Fax:972-548-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH17198Medicare UPIN
TX00650LMedicare PIN