1073837720 NPI number — KYLE E. JONES, M.D., P.A.

NPI Number: 1073837720
Health Care Provider/Practitioner: KYLE E. JONES, M.D., P.A.

NPI Number : 1073837720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073837720",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KYLE E. JONES, M.D., P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 99",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARIS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75461-0099",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-785-4600",
    "MailingAddressFaxNumber": "903-782-9150",
    "FirstLinePracticeLocationAddress": "3154 CLARKSVILLE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PARIS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75460-8015",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-785-4600",
    "PracticeLocationAddressFaxNumber": "903-782-9150",
    "EnumerationDate": "03/24/2010",
    "LastUpdateDate": "01/28/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONES",
    "AuthorizedOfficialFirstName": "KYLE",
    "AuthorizedOfficialMiddleName": "ELLIOTT",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "903-785-4600",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": "K8239",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QX0100X",
          "TaxonomyName": "Occupational Medicine Clinic/Center",
          "LicenseNumber": "K8239",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}