Provider Demographics
NPI:1215197736
Name:JONES, AUDRA M
Entity Type:Individual
Prefix:
First Name:AUDRA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 EISENHOWER LN
Mailing Address - Street 2:
Mailing Address - City:LAVON
Mailing Address - State:TX
Mailing Address - Zip Code:75166-1779
Mailing Address - Country:US
Mailing Address - Phone:281-795-1500
Mailing Address - Fax:
Practice Address - Street 1:494 EISENHOWER LN
Practice Address - Street 2:
Practice Address - City:LAVON
Practice Address - State:TX
Practice Address - Zip Code:75166-1779
Practice Address - Country:US
Practice Address - Phone:281-795-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health