MEDICARE: AULT MCINNIS PLLC

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	261QR1300X	Rural Health Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1942587159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AULT MCINNIS PLLC

Provider Business Mailing Address
First Line	:	2116 E RUSK ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-9052
Country	:	US
Telephone Number	:	903-284-6105
Fax Number	:	903-284-6104

Provider Business Practice Location Address
First Line	:	2114 E RUSK ST
Second Line	:
City	:	JACKSONVILLE
State	:	TX
Zip	:	75766-9052
Country	:	US
Telephone Number	:	903-284-6105
Fax Number	:	903-284-6104

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRISTIN LEE AULT
Credential	:	DO
Telephone Number	:	903-284-6105

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	05/13/2025

Similar Medicare Providers

1073198768 — EVERCAREPLUS INC
Practice Location Address:

2118 E RUSK ST
JACKSONVILLE, TX
75766-9052

Practice Phone: 430-435-1888
Practice Fax: 430-435-1988

1376665950 — DR. LARRY LOFTON FOLDEN D.D.S.
Practice Location Address:

2110 E RUSK ST
JACKSONVILLE, TX
75766-9052

Practice Phone: 903-586-0741
Practice Fax: 903-586-0649

1609078211 — KRISTIN L AULT DO
Practice Location Address:

2116 E RUSK ST
JACKSONVILLE, TX
75766-9052

Practice Phone: 903-284-6105
Practice Fax: 903-284-6140

1043471576 — DR. BRADLEY KENT WESTBROOK D.D.S
Practice Location Address:

2110 E RUSK ST
JACKSONVILLE, TX
75766-9052

Practice Phone: 903-586-0741
Practice Fax: 903-586-0649

1447405949 — FAMILY & COSMETIC DENTISTRY PC
Practice Location Address:

2110 E RUSK ST
JACKSONVILLE, TX
75766-9052

Practice Phone: 903-586-0741
Practice Fax: 903-586-0649

1639506876 — FAMILY FIRST URGENT CARE PLLC
Practice Location Address:

2116 E RUSK ST
JACKSONVILLE, TX
75766-9052

Practice Phone: 903-284-6105
Practice Fax:

Directions to “AULT MCINNIS PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.