Provider Demographics
NPI:1265431514
Name:JONES, MICHAEL B (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 COWBOYS WAY
Mailing Address - Street 2:STE 150
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1995
Mailing Address - Country:US
Mailing Address - Phone:214-647-6165
Mailing Address - Fax:214-647-6166
Practice Address - Street 1:3000 CORPORATE CT
Practice Address - Street 2:SUITE 400
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2299
Practice Address - Country:US
Practice Address - Phone:214-647-6165
Practice Address - Fax:214-647-6166
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM11712085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174724801Medicaid
TX8D5931Medicare ID - Type Unspecified
I20042Medicare UPIN