Provider Demographics
NPI:1710258884
Name:JONES, CATINA MARIE
Entity Type:Individual
Prefix:MISS
First Name:CATINA
Middle Name:MARIE
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 1:2800 CARROLTON ST
Mailing Address - Street 2:2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-5269
Mailing Address - Country:US
Mailing Address - Phone:281-673-5891
Mailing Address - Fax:
Practice Address - Street 1:2800 CARROLTON ST
Practice Address - Street 2:2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-5269
Practice Address - Country:US
Practice Address - Phone:281-673-5891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-22
Last Update Date:2012-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24297611172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver