Provider Demographics
NPI:1689142531
Name:JONES, ANDREW MICHAEL (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MICHAEL
Last Name:JONES
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:DREW
Other - Middle Name:MICHAEL
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1409 MARYLAND ST APT A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1846
Mailing Address - Country:US
Mailing Address - Phone:281-787-8113
Mailing Address - Fax:
Practice Address - Street 1:940 CLEAR LAKE CITY BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-6606
Practice Address - Country:US
Practice Address - Phone:281-282-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12869832251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics