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KEITH EDWARD JONES PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1811178031

Individual Registrant:
 KEITH EDWARD JONES PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
110 MAGEE STREET  GROVETON, TX 75845 US
Tel: 936-642-0841  Fax: 936-642-0849

Contact information for business:
PO BOX 36  ROUND ROCK, TX 78680-0036 US
Tel: 512-481-7060  Fax: --

Registration Information:
NPI: 1811178031
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
TXPA03871

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
203876201TX05
203876202TX05




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