Provider Demographics
NPI:1104635176
Name:JONES PRESTON, CHARLESALA DUEPRA
Entity type:Individual
Prefix:
First Name:CHARLESALA
Middle Name:DUEPRA
Last Name:JONES PRESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16527 ROCK EAST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-5242
Mailing Address - Country:US
Mailing Address - Phone:832-497-0751
Mailing Address - Fax:
Practice Address - Street 1:16527 ROCK EAST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-5242
Practice Address - Country:US
Practice Address - Phone:832-497-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant