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NPI Code Detail

MEDICARE: LANCE JONES

MEDICARE: LANCE JONES
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
12251X0800XOrthopedic Physical Therapist1233272TX

General Provider Information

NPI Number : 1639504590
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANCE JONES
Provider Business Mailing Address
First Line : 1948 PINE RIDGE DR
Second Line :
City : BEDFORD
State : TX
Zip : 76021-4650
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2160 E LAMAR BLVD
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-7408
Country : US
Telephone Number : 972-988-0441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2013
Last Update Date : 09/11/2013

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Directions to “ LANCE JONES ” Practice Location

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