Provider Demographics
NPI:1407078777
Name:JONES, JOY IFEOMA
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:IFEOMA
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 1:6201 BONHOMME RD
Mailing Address - Street 2:SUITE 308N
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4420
Mailing Address - Country:US
Mailing Address - Phone:832-203-5757
Mailing Address - Fax:832-767-1848
Practice Address - Street 1:6201 BONHOMME RD
Practice Address - Street 2:SUITE 308N
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4420
Practice Address - Country:US
Practice Address - Phone:832-203-5757
Practice Address - Fax:832-767-1848
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0089343332B00000X
TX10007473416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies