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NPI Code Detail

MEDICARE: JAY D. POND M.D.

MEDICARE: JAY D. POND 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
1207X00000XOrthopaedic Surgery PhysicianH9557TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780679886
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY D. POND M.D.
Provider Business Mailing Address
First Line : PO BOX 120489
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-0489
Country : US
Telephone Number : 817-375-5200
Fax Number : 817-299-1708
Provider Business Practice Location Address
First Line : 800 ORTHOPEDIC WAY
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-1629
Country : US
Telephone Number : 817-375-5200
Fax Number : 817-299-1708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 07/06/2021

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