Provider Demographics
NPI:1861476335
Name:JONES, WILLIAM (BILL) W (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM (BILL)
Middle Name:W
Last Name:JONES
Suffix:
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 1:120 S CENTRAL EXPY
Mailing Address - Street 2:STE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3753
Mailing Address - Country:US
Mailing Address - Phone:972-548-6985
Mailing Address - Fax:972-548-0440
Practice Address - Street 1:120 S CENTRAL EXPY
Practice Address - Street 2:STE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3753
Practice Address - Country:US
Practice Address - Phone:972-548-6985
Practice Address - Fax:972-548-0440
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH17198Medicare UPIN
TX00650LMedicare PIN