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Ault McInnis PLLC

Family Medicine in Jacksonville, TX. Organization (NPI-2).

NPI number1942587159
StatusActive
Last updated in NPPESMay 13, 2025

Details

NPI
1942587159
Entity type
Organization (NPI-2)
Legal business name
Ault McInnis PLLC
Organization subpart
No
Enumeration date
Nov 16, 2011
Certification date
May 13, 2025
Last updated
May 13, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
261QR1300X Clinic/Center, Rural Health––

Other names

  • Family First Of Jacksonville (Doing Business As)

Practice location

2114 E Rusk St
Jacksonville, TX 75766-9052

Phone 903-284-6105 · Fax 903-284-6104

Mailing address

2116 E Rusk St
Jacksonville, TX 75766-9052

Phone 903-284-6105 · Fax 903-284-6104

Authorized official

Kristin Lee Ault
Owner
9032846105

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Jacksonville, TX

All 19 Family Medicine Physician providers in Jacksonville · All 337 providers in Jacksonville

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