| Jennifer Bailey Jones Mbr | |
|
200 Bryan Pl Cedar Hill TX 75104 | |
| (972) 299-0003 | |
| (972) 299-0004 |
| Full Name | Jennifer Bailey Jones Mbr |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Bryan Pl, Cedar Hill, Texas |
| Authorized Official Name and Position | Cecil C Bailey (OWNER) |
| Authorized Official Contact | 9722990003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bailey Jones Mbr 200 Bryan Pl Cedar Hill TX 75104 Ph: (972) 299-0003 | Jennifer Bailey Jones Mbr 200 Bryan Pl Cedar Hill TX 75104 Ph: (972) 299-0003 |
| NPI Number | 1235450339 |
|---|---|
| Provider Enumeration Date | 06/13/2010 |
| Last Update Date | 09/10/2012 |
| Medicare PECOS PAC ID | 0042334575 |
|---|---|
| Medicare Enrollment ID | O20100903000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235450339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 367A00000X | Advanced Practice Midwife | PA04612 (Texas) | Secondary |
| Provider Name | Cecil C Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871546598 PECOS PAC ID: 5890684476 Enrollment ID: I20040913000884 |
| Provider Name | Chibuike Uzoma Okoro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811197338 PECOS PAC ID: 0749464329 Enrollment ID: I20110405001123 |
| Provider Name | Nadia Nicole Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679973077 PECOS PAC ID: 8426359910 Enrollment ID: I20160419001981 |
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