Provider Demographics
NPI:1427660240
Name:JONES, CHARMETTE
Entity type:Individual
Prefix:
First Name:CHARMETTE
Middle Name:
Last Name:JONES
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 1:7909 W GRAND PKWY S STE 443
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-8645
Mailing Address - Country:US
Mailing Address - Phone:832-279-4849
Mailing Address - Fax:
Practice Address - Street 1:1503 MUSTANG LAKE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7963
Practice Address - Country:US
Practice Address - Phone:832-279-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver