Provider Demographics
NPI:1407874001
Name:COLEMAN-JONES, FAITH VONTRICE (CEO)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:VONTRICE
Last Name:COLEMAN-JONES
Suffix:
Gender:F
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 WICHITA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7719
Mailing Address - Country:US
Mailing Address - Phone:713-661-6607
Mailing Address - Fax:713-522-0333
Practice Address - Street 1:3001 WICHITA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7719
Practice Address - Country:US
Practice Address - Phone:713-661-6607
Practice Address - Fax:713-522-0333
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800112341600000X, 146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered341600000XTransportation ServicesAmbulance
Not Answered146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic