Provider Demographics
NPI:1417999822
Name:JONES, CLAUDETTE LOUISE (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:LOUISE
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 SOUTH LOOP WEST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:713-668-4181
Mailing Address - Fax:713-668-9034
Practice Address - Street 1:3003 SOUTH LOOP WEST
Practice Address - Street 2:SUITE 204
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-668-4181
Practice Address - Fax:713-668-9034
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1079207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX033882401Medicaid
TX033882401Medicaid
TX00HL16Medicare PIN