Provider Demographics
NPI:1245238898
Name:JONES, REBECCA O (MD)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:O
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-324-6400
Mailing Address - Fax:
Practice Address - Street 1:1424 EAST FRONT
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8501
Practice Address - Country:US
Practice Address - Phone:903-595-4144
Practice Address - Fax:903-596-5491
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8285207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5374024OtherAETNA
TX1316978OtherUNITED HEALTHCARE
TX6070074OtherCIGNA
TX89V980OtherBLUE CROSS BLUE SHIELD
TXP02098763OtherMEDICARE RAIL ROAD
TX124393302Medicaid
TX875892OtherFIRST HEALTH
TX124393305Medicaid
TX705604OtherMEDICARE