Provider Demographics
NPI:1194812495
Name:JONES, ADRIAN COY (NP-C, DC)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:COY
Last Name:JONES
Suffix:
Gender:M
Credentials:NP-C, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249-0800
Mailing Address - Country:US
Mailing Address - Phone:940-482-3599
Mailing Address - Fax:940-482-1775
Practice Address - Street 1:128 WEST MCCART ST.
Practice Address - Street 2:
Practice Address - City:KRUM
Practice Address - State:TX
Practice Address - Zip Code:76249-5561
Practice Address - Country:US
Practice Address - Phone:940-482-3599
Practice Address - Fax:940-482-1775
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8832111N00000X
TX778411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606679OtherBCBS PROVIDER NUMBER
TX609856Medicare ID - Type Unspecified
TXU96352Medicare UPIN