Provider Demographics
NPI:1194983742
Name:JEFFREY D. JONES.
Entity type:Organization
Organization Name:JEFFREY D. JONES.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-340-8100
Mailing Address - Street 1:15200 SOUTHWEST FWY STE 180
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3843
Mailing Address - Country:US
Mailing Address - Phone:281-491-6767
Mailing Address - Fax:
Practice Address - Street 1:15200 SOUTHWEST FWY STE 180
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3843
Practice Address - Country:US
Practice Address - Phone:281-491-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNP0355Medicare PIN