MEDICARE: DR. DAN ELWIN JONES D.P.M

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	213ES0103X	Foot & Ankle Surgery Podiatrist	0984	TX

General Provider Information

NPI Number	:	1942200662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN ELWIN JONES D.P.M

Provider Business Mailing Address
First Line	:	938 E HIGHWAY 67
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-2706
Country	:	US
Telephone Number	:	972-572-5990
Fax Number	:	972-572-5994

Provider Business Practice Location Address
First Line	:	938 E HIGHWAY 67
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-2706
Country	:	US
Telephone Number	:	972-572-5990
Fax Number	:	972-572-5994

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/08/2007

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