Provider Demographics
NPI:1568704047
Name:JONES, CARMELLA PATRICE
Entity Type:Individual
Prefix:MS
First Name:CARMELLA
Middle Name:PATRICE
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 1:3402 GARROTT ST
Mailing Address - Street 2:APT. 10
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4472
Mailing Address - Country:US
Mailing Address - Phone:713-598-7313
Mailing Address - Fax:281-741-1788
Practice Address - Street 1:3402 GARROTT ST
Practice Address - Street 2:APT. 10
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4472
Practice Address - Country:US
Practice Address - Phone:713-598-7313
Practice Address - Fax:281-741-1788
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator