Provider Demographics
NPI:1508800061
Name:JONES, TERESA K (DC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:K
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 1:3930 NAAMAN SCHOOL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-0914
Mailing Address - Country:US
Mailing Address - Phone:972-530-2273
Mailing Address - Fax:972-530-2608
Practice Address - Street 1:3930 NAAMAN SCHOOL RD
Practice Address - Street 2:SUITE B
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-0914
Practice Address - Country:US
Practice Address - Phone:972-530-2273
Practice Address - Fax:972-530-2608
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU54177Medicare UPIN
TX8D0397Medicare ID - Type Unspecified