Provider Demographics
NPI:1992985956
Name:GISELE A. JONES, M.D., P.A.
Entity type:Organization
Organization Name:GISELE A. JONES, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GISELE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-807-6800
Mailing Address - Street 1:18220 TOMBALL PKWY STE 290
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4370
Mailing Address - Country:US
Mailing Address - Phone:281-807-6800
Mailing Address - Fax:281-807-7770
Practice Address - Street 1:18220 TOMBALL PKWY STE 290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4370
Practice Address - Country:US
Practice Address - Phone:281-807-6800
Practice Address - Fax:281-807-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8611207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00318TOtherMEDICARE GROUP NUMBER
TX00318TOtherMEDICARE GROUP NUMBER