MEDICARE: DR. ROY G JONES 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
1	208600000X	Surgery Physician	K8240	TX

General Provider Information

NPI Number	:	1922378728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY G JONES M.D.

Provider Business Mailing Address
First Line	:	1515 S FEDERAL HWY
Second Line	:	STE 401
City	:	BOCA RATON
State	:	FL
Zip	:	33432-7450
Country	:	US
Telephone Number	:	561-361-7600
Fax Number	:	561-883-8723

Provider Business Practice Location Address
First Line	:	10370 RICHMOND AVE
Second Line	:	STE 200
City	:	HOUSTON
State	:	TX
Zip	:	77042-4141
Country	:	US
Telephone Number	:	713-271-0952
Fax Number	:

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

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	01/10/2012

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