Provider Demographics
NPI:1487682316
Name:JONES, ALAN LESLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LESLIE
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 WORTH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2029
Mailing Address - Country:US
Mailing Address - Phone:214-820-8350
Mailing Address - Fax:214-820-8355
Practice Address - Street 1:3409 WORTH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2029
Practice Address - Country:US
Practice Address - Phone:214-820-8350
Practice Address - Fax:214-820-8355
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5458207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118578706Medicaid
TX118578707Medicaid
TX8S4396OtherBCBS
F57707Medicare UPIN
TX8D6739Medicare PIN
TX118578707Medicaid
TXP00695803Medicare PIN
TX8S4396OtherBCBS