Provider Demographics
NPI:1184198186
Name:JONES, DARRELL E
Entity Type:Individual
Prefix:
First Name:DARRELL
Middle Name:E
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 EAST DR APT 11
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-8446
Mailing Address - Country:US
Mailing Address - Phone:405-493-3811
Mailing Address - Fax:
Practice Address - Street 1:800 EAST DR APT 11
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-8446
Practice Address - Country:US
Practice Address - Phone:405-493-3811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist