Provider Demographics
NPI:1366497075
Name:JONES, ALONZO H (DO)
Entity Type:Individual
Prefix:
First Name:ALONZO
Middle Name:H
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 1:4502 HORSESHOE BND
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:79072-6522
Mailing Address - Country:US
Mailing Address - Phone:806-293-5895
Mailing Address - Fax:
Practice Address - Street 1:801 E 3RD ST
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:TX
Practice Address - Zip Code:79045-5727
Practice Address - Country:US
Practice Address - Phone:806-364-2141
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6312207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXA67215Medicare UPIN
TX8D4223Medicare ID - Type Unspecified