Provider Demographics
NPI:1023155223
Name:JONES, RICHARD (M D)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W ARBROOK BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3105
Mailing Address - Country:US
Mailing Address - Phone:866-717-2551
Mailing Address - Fax:866-717-2551
Practice Address - Street 1:300 W ARBROOK BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3105
Practice Address - Country:US
Practice Address - Phone:866-717-2551
Practice Address - Fax:866-717-2551
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5413741-12052085R0202X
TXM66822085R0202X
ARE-53242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR166470001Medicaid
OK200125920Medicaid
UT5413741-1205OtherSTATE LICENSE
TX189281201Medicaid
ARE5324OtherAR STATE LIC
TXM6682OtherTX STATE LIC
AR84627OtherAR BCBS
TX8AK783OtherTX BCBS
TXP00462773OtherRAILROAD MEDICARE
OK200125920Medicaid
TXP00462773OtherRAILROAD MEDICARE