Provider Demographics
NPI:1891804647
Name:CONE, JOHN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROBERT
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 1:3560 S ALAMEDA ST STE 3
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1700
Mailing Address - Country:US
Mailing Address - Phone:361-854-4828
Mailing Address - Fax:361-854-4861
Practice Address - Street 1:3560 S ALAMEDA ST STE 3
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1700
Practice Address - Country:US
Practice Address - Phone:361-854-4828
Practice Address - Fax:361-854-4861
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX406083699OtherRAIL ROAD MEDICARE
TX032233101Medicaid
TX74-2009057OtherEIN
TX406083699OtherRAIL ROAD MEDICARE
TX74-2009057OtherEIN