Provider Demographics
NPI:1376603209
Name:CONE, JEFFREY D (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:D
Last Name:CONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6822 PLUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1601
Mailing Address - Country:US
Mailing Address - Phone:806-373-3177
Mailing Address - Fax:806-373-0423
Practice Address - Street 1:6822 PLUM CREEK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1601
Practice Address - Country:US
Practice Address - Phone:806-373-3177
Practice Address - Fax:806-373-0423
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4265174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX400000025OtherRAILROAD MEDICARE
TX109525OtherCHIP HEALTH PLAN
TX089526002Medicaid
OK100167280AOtherMEDICAID OF OK
TX110691100OtherFIRST CARE
179154600OtherUS DEPT OF LABOR
TX00RX08OtherBLUE CROSS BLUE SHIELD
TX84T791Medicare ID - Type Unspecified
TX089526002Medicaid