1134516404 NPI number — PLANO TEXAS PLASTIC SURGERY CENTER

Table of content: DR. ROBERT JOEL JONES JR. M.D. (NPI 1750593133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134516404 NPI number — PLANO TEXAS PLASTIC SURGERY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLANO TEXAS PLASTIC SURGERY CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134516404
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5880 ASHMILL DR
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75024-0033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-378-3870
Provider Business Mailing Address Fax Number:
972-378-7977

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5880 ASHMILL DR
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75024-0033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-378-3870
Provider Business Practice Location Address Fax Number:
972-378-7977
Provider Enumeration Date:
04/23/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ANGOBALDO
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
O
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
972-378-3870

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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