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NPI Code Detail

MEDICARE: MARK GREGORY JONES M.D.

MEDICARE: MARK GREGORY 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
1208600000XSurgery Physician207336LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1207336OTHERLASTATE LICENSE

General Provider Information

NPI Number : 1215165303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK GREGORY JONES M.D.
Provider Business Mailing Address
First Line : PO BOX 669379
Second Line :
City : DALLAS
State : TX
Zip : 75266-9379
Country : US
Telephone Number : 985-898-3740
Fax Number : 985-898-3739
Provider Business Practice Location Address
First Line : 728 W 11TH AVE
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2318
Country : US
Telephone Number : 985-892-3766
Fax Number : 985-893-9567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2009
Last Update Date : 03/03/2026

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