Casey Jones
Emergency Medicine in Dallas, TX. Individual provider (NPI-1).
NPI number1124580394
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1124580394
- Entity type
- Individual (NPI-1)
- Name
- Casey Jones
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2019
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | T2643 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TX |
Practice location
5200 Harry Hines BlvdDallas, TX 75235-7709
Phone 214-590-8000
Mailing address
4094 Killion DrDallas, TX 75229-6225
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