Provider Demographics
NPI:1508597071
Name:JONES, BRANDI RENEE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:RENEE
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 MARKET PLACE BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-8099
Mailing Address - Country:US
Mailing Address - Phone:972-556-2500
Mailing Address - Fax:
Practice Address - Street 1:2240 MARKET PLACE BLVD STE 160
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-8099
Practice Address - Country:US
Practice Address - Phone:972-556-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor