Provider Demographics
NPI:1639180383
Name:JONES, PATRICK (DC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ED SCHMIDT BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5721
Mailing Address - Country:US
Mailing Address - Phone:512-377-2663
Mailing Address - Fax:512-377-2664
Practice Address - Street 1:401 ED SCHMIDT BLVD STE 500
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-5721
Practice Address - Country:US
Practice Address - Phone:512-377-2663
Practice Address - Fax:512-759-2225
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83632EMedicare ID - Type Unspecified
TX8B6050Medicare UPIN