Provider Demographics
NPI:1447200712
Name:JONES-ALLEN, ANGELA S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:S
Last Name:JONES-ALLEN
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 1:501 N YARBROUGH DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-3240
Mailing Address - Country:US
Mailing Address - Phone:915-595-1844
Mailing Address - Fax:915-599-1953
Practice Address - Street 1:501 N YARBROUGH DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-3240
Practice Address - Country:US
Practice Address - Phone:915-595-1844
Practice Address - Fax:915-599-1953
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8241207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX396268YLPSOtherWELLMED PTAN
TX111921610Medicaid
TX396268YLPSOtherWELLMED PTAN