Provider Demographics
NPI:1447738810
Name:JONES, TRAVISHA E (MD)
Entity Type:Individual
Prefix:DR
First Name:TRAVISHA
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TRAVISHA
Other - Middle Name:
Other - Last Name:VAUGHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 GRUENE RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0200
Mailing Address - Country:US
Mailing Address - Phone:830-629-3330
Mailing Address - Fax:830-629-3336
Practice Address - Street 1:910 GRUENE RD BLDG 2
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0200
Practice Address - Country:US
Practice Address - Phone:830-629-3330
Practice Address - Fax:830-629-3336
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN62494207Q00000X
GA390200000X
TXU0137207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program