Jones, Russell W
Jones, Russell W is an individual health care provider with primary practice located at 1300 S Gregg St Suite A, Big Spring TX 79720-4325. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jones, Russell W can be contacted via phone (432) 264-0414.Contact Information
Primary practice address
1300 S Gregg St Suite A
Big Spring TX 79720-4325
Phone: (432) 264-0414
Fax: (432) 264-9541
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30005605 | Washington |
Profile Details
| NPI number | 1083702948 |
|---|---|
| LBN Legal business name | Jones, Russell W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Sep 2nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083702948 | NPPES |
| Texas | Other | 8N8276 | BLUE CROSS |
| Texas | MEDICAID | 161319203 | BLUE CROSS |
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