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NPI Code Detail

MEDICARE: WILLIAM RILEY JONES D.O.

MEDICARE: WILLIAM RILEY 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
1207Q00000XFamily Medicine PhysicianF4134TX

General Provider Information

NPI Number : 1366464596
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM RILEY JONES D.O.
Provider Business Mailing Address
First Line : 3008 DAWN DR
Second Line : SUITE 201
City : GEORGETOWN
State : TX
Zip : 78628-2821
Country : US
Telephone Number : 512-863-4596
Fax Number : 512-863-4676
Provider Business Practice Location Address
First Line : 3008 DAWN DR
Second Line : SUITE 201
City : GEORGETOWN
State : TX
Zip : 78628-2822
Country : US
Telephone Number : 512-863-4596
Fax Number : 512-863-4676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 04/30/2013

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Directions to “ WILLIAM RILEY JONES D.O.” Practice Location

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