Basic Information
Provider Information
NPI: 1700829249
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: MONTE
MiddleName: F
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 911230
Address2:  
City: DALLAS
State: TX
PostalCode: 753911230
CountryCode: US
TelephoneNumber: 9729978000
FaxNumber: 9724379605
Practice Location
Address1: 4510 MEDICAL CENTER DR
Address2: SUITE 215
City: MCKINNEY
State: TX
PostalCode: 750691650
CountryCode: US
TelephoneNumber: 9725428609
FaxNumber: 9725428613
Other Information
ProviderEnumerationDate: 06/13/2006
LastUpdateDate: 08/20/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202XJ5595TXN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207RH0003XJ5595TXY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

ID Information
IDTypeStateIssuerDescription
13691260705TX MEDICAID
13691260605TX MEDICAID
8R147701TXBLUE CROSS OF TXOTHER
13691260505TX MEDICAID
13691260205TX MEDICAID
13691261205TX MEDICAID
13691260405TX MEDICAID
13691260305TX MEDICAID


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