1356762777 NPI number — JONES & JONES ASSOCIATES, LLC

Table of content: (NPI 1356762777)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356762777 NPI number — JONES & JONES ASSOCIATES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JONES & JONES ASSOCIATES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356762777
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1711 E CENTRAL TEXAS EXPY
Provider Second Line Business Mailing Address:
STE 302
Provider Business Mailing Address City Name:
KILLEEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76541-9166
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-200-0083
Provider Business Mailing Address Fax Number:
254-200-0084

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1711 E CENTRAL TEXAS EXPY
Provider Second Line Business Practice Location Address:
STE 302
Provider Business Practice Location Address City Name:
KILLEEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76541-9166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-200-0083
Provider Business Practice Location Address Fax Number:
254-200-0084
Provider Enumeration Date:
01/02/2014

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
254-200-0083

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  33139 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1041CO700X . This is a "BEHAVIORAL HEALTH CARE PROVIDER CLINICAL" identifier . This identifiers is of the category "OTHER".




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