Provider Demographics
NPI:1346384807
Name:JONES, LEON C (ATC, LAT, MS)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:ATC, LAT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 CLIFF CREEK CROSSING DR
Mailing Address - Street 2:APT 1408
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3768
Mailing Address - Country:US
Mailing Address - Phone:214-923-1114
Mailing Address - Fax:
Practice Address - Street 1:7550 CLIFF CREEK CROSSING DR
Practice Address - Street 2:APT 1408
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3768
Practice Address - Country:US
Practice Address - Phone:214-923-1114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT33612255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer