MEDICARE: DR. KORY JONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086X0206X	Surgical Oncology Physician	M3598	TX
2	208600000X	Surgery Physician	M3598	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033235627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KORY JONES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 W MAYFIELD RD STE 101
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2084
Country	:	US
Telephone Number	:	817-664-4400
Fax Number	:	817-664-4414

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	11/21/2023

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