Provider Demographics
NPI:1407032782
Name:DAVID R. JONES, MDPA
Entity Type:Organization
Organization Name:DAVID R. JONES, MDPA
Other - Org Name:SPINE & SPORTS MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PROVIDER COMPLIANCE AND LICENSING
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALLBRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-883-5300
Mailing Address - Street 1:6901 MEDICAL CENTER DR STE 230
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-1407
Mailing Address - Country:US
Mailing Address - Phone:409-883-5300
Mailing Address - Fax:409-883-5394
Practice Address - Street 1:6901 MEDICAL CENTER DR STE 230
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-1407
Practice Address - Country:US
Practice Address - Phone:409-883-5300
Practice Address - Fax:409-883-5394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0434207LP2900X
TXJ42392081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6742360002OtherPTAN DME BEAUMONT LOCATION
TX6742360001OtherPTAN DME ORANGE LOCATION
TX8124B7Medicare PIN
TX6742360001OtherPTAN DME ORANGE LOCATION
TX6742360002OtherPTAN DME BEAUMONT LOCATION
TXF04604Medicare UPIN