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NPI Code Detail

MEDICARE: R.L.STINSON JONES M.D.

MEDICARE: R.L.STINSON 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
1208000000XPediatrics PhysicianD3289TX
22080A0000XPediatric Adolescent Medicine PhysicianD3289TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14526338OTHERTXAETNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
310028553OTHERTXAMERIGROUP
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
583216XOTHERTXBCBS

General Provider Information

NPI Number : 1871551754
Entity Type Code : Individual
Provider Name (Legal Business Name) : R.L.STINSON JONES M.D.
Provider Business Mailing Address
First Line : 1108 S HENDERSON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4430
Country : US
Telephone Number : 817-335-3255
Fax Number : 817-338-9563
Provider Business Practice Location Address
First Line : 1108 S HENDERSON ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4430
Country : US
Telephone Number : 817-335-3255
Fax Number : 817-338-9563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 07/17/2008

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