Provider Demographics
NPI:1275636607
Name:JONES, PATSY (MD)
Entity Type:Individual
Prefix:DR
First Name:PATSY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 CAMERON RD STE 106
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-3816
Mailing Address - Country:US
Mailing Address - Phone:512-472-9664
Mailing Address - Fax:512-472-9778
Practice Address - Street 1:8101 CAMERON RD STE 106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3816
Practice Address - Country:US
Practice Address - Phone:512-472-9664
Practice Address - Fax:512-472-9778
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133376703Medicaid
C17597Medicare UPIN