1750502191 NPI number — MISS JULIE JANETTE JONES C.O.T.A

Table of content: MISS JULIE JANETTE JONES C.O.T.A (NPI 1750502191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750502191 NPI number — MISS JULIE JANETTE JONES C.O.T.A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
JULIE
Provider Middle Name:
JANETTE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
C.O.T.A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1750502191
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1710 W T C JESTER BLVD
Provider Second Line Business Mailing Address:
APT #1111
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77008-3280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
936-526-4923
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3040 POST OAK BLVD
Provider Second Line Business Practice Location Address:
#1200
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77056-6500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-965-9998
Provider Business Practice Location Address Fax Number:
713-965-9921
Provider Enumeration Date:
05/02/2007

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: 224Z00000X , with the licence number:  208768 , 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)





Copyright © 2007-2025 www.npivalidator.com