MEDICARE: RONALD W. JONES D.O.

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	207Q00000X	Family Medicine Physician	E3716	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8F9824	OTHER	TX	MEDICARE ID-TYPE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366445538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD W. JONES D.O.

Provider Business Mailing Address
First Line	:	PO BOX 758
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-0758
Country	:	US
Telephone Number	:	972-636-9577
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N. ARCH ST.
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-0758
Country	:	US
Telephone Number	:	972-636-9577
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/27/2009

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