Provider Demographics
NPI:1679831564
Name:JONES, SHIRLEY ANN (HTASCP)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:HTASCP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 GARLAND DR
Mailing Address - Street 2:APT. 207
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-6278
Mailing Address - Country:US
Mailing Address - Phone:979-292-5920
Mailing Address - Fax:
Practice Address - Street 1:401 GARLAND DR
Practice Address - Street 2:APT. 207
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-6278
Practice Address - Country:US
Practice Address - Phone:979-292-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RH0600XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyHistology