Provider Demographics
NPI:1073103487
Name:P JONES ENTERPRISES INC
Entity Type:Organization
Organization Name:P JONES ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JED
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-993-1984
Mailing Address - Street 1:1400 MCKINNEY ST UNIT 908
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77010-4051
Mailing Address - Country:US
Mailing Address - Phone:864-993-1984
Mailing Address - Fax:914-810-9609
Practice Address - Street 1:1400 MCKINNEY ST UNIT 908
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77010-4051
Practice Address - Country:US
Practice Address - Phone:864-993-1984
Practice Address - Fax:914-810-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty