Doctor Name: | MARITHY JONES |
NPI Number: | 1417317595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3101 Inwood Rd Kilgore, TX - 756622212 |
Business Phone Number: | 9037549830 |
Business Fax Number: | |
Mailing Address: | 3101 Inwood Rd, KILGORE |
State: | TX |
Postal Code: | 756622212 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/02/2016 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |