Provider Demographics
NPI:1417450032
Name:JONES, NEIL JOSEPH (CPO)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:JOSEPH
Last Name:JONES
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 OLSEN BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3032
Mailing Address - Country:US
Mailing Address - Phone:940-768-8788
Mailing Address - Fax:
Practice Address - Street 1:3505 OLSEN BLVD STE 211
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3032
Practice Address - Country:US
Practice Address - Phone:940-768-8788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1838335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty