1831582832 NPI number — DR. DORIS MCKINNEY JONES PH.D.

Table of content: MEGAN MARGAVAGE RN (NPI 1144637125)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831582832 NPI number — DR. DORIS MCKINNEY JONES PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
DORIS
Provider Middle Name:
MCKINNEY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES
Provider Other First Name:
DORIS
Provider Other Middle Name:
FAYE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831582832
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3323 N MIDLAND DR
Provider Second Line Business Mailing Address:
#113-177
Provider Business Mailing Address City Name:
MIDLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79707-4608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-510-8154
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
208 S MARIENFELD ST
Provider Second Line Business Practice Location Address:
STE 136
Provider Business Practice Location Address City Name:
MIDLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79701-5113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-510-8154
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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