Provider Demographics
NPI:1326284324
Name:JONES, MYRON DOUGLASS JR (DO)
Entity Type:Individual
Prefix:DR
First Name:MYRON
Middle Name:DOUGLASS
Last Name:JONES
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 WELLINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6434
Mailing Address - Country:US
Mailing Address - Phone:817-277-2956
Mailing Address - Fax:
Practice Address - Street 1:1804 WELLINGTON CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6434
Practice Address - Country:US
Practice Address - Phone:817-277-2956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-21
Last Update Date:2008-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine