Doctor Name: | THOMAS COLLINS JONES |
NPI Number: | 1336358118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | S.F.C. PROVIDER |
License Number: | |
Business Practice Address: | 812 E Redwood Ave Sallisaw, OK - 749553206 |
Business Phone Number: | 9187760847 |
Business Fax Number: | |
Mailing Address: | 812 E Redwood Ave, SALLISAW |
State: | OK |
Postal Code: | 749553206 |
Phone Number: | 9187760847 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 177F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Lodging |
Taxonomy Specialization: | |
Taxonomy Definition: | A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |