Provider Demographics
NPI:1518549872
Name:JONES, TAMARA
Entity Type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 N TOWN EAST BLVD STE 138
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4142
Mailing Address - Country:US
Mailing Address - Phone:214-355-8288
Mailing Address - Fax:972-707-9565
Practice Address - Street 1:419 BARTON DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-5983
Practice Address - Country:US
Practice Address - Phone:214-355-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service