Provider Demographics
NPI:1619301249
Name:JONES, CHARLA LYNN (DVM)
Entity Type:Individual
Prefix:DR
First Name:CHARLA
Middle Name:LYNN
Last Name:JONES
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9125 MANCHACA RD
Mailing Address - Street 2:STE. B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5312
Mailing Address - Country:US
Mailing Address - Phone:512-451-1070
Mailing Address - Fax:
Practice Address - Street 1:9125 MANCHACA RD.
Practice Address - Street 2:STE. B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748
Practice Address - Country:US
Practice Address - Phone:512-451-1070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3942174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBJ1628900OtherDPS