Provider Demographics
NPI:1184687261
Name:JONES, TOM NEAL (DO)
Entity Type:Individual
Prefix:DR
First Name:TOM
Middle Name:NEAL
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9323 GARLAND RD
Mailing Address - Street 2:ST. 206
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3600
Mailing Address - Country:US
Mailing Address - Phone:214-328-3610
Mailing Address - Fax:214-328-3620
Practice Address - Street 1:9323 GARLAND RD
Practice Address - Street 2:ST. 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3600
Practice Address - Country:US
Practice Address - Phone:214-328-3610
Practice Address - Fax:214-328-3620
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099741302Medicaid
TX1184687261OtherBSBC
TX081535901Medicaid
TX1184687261OtherBCBS
TX099741301Medicaid
TX81G562OtherDISA BCBS
TX81G562OtherDISA BCBS
TXA67212Medicare UPIN
TX00PP13Medicare ID - Type Unspecified
TX81G562Medicare PIN