Provider Demographics
NPI:1760687818
Name:FLORENCE T. JONES
Entity Type:Organization
Organization Name:FLORENCE T. JONES
Other - Org Name:FLORENCE T. JONES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:409-692-1006
Mailing Address - Street 1:5807 NORTON ST
Mailing Address - Street 2:5807 NORTON
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-4101
Mailing Address - Country:US
Mailing Address - Phone:409-692-1006
Mailing Address - Fax:
Practice Address - Street 1:5807 NORTON ST
Practice Address - Street 2:5807 NORTON
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-4101
Practice Address - Country:US
Practice Address - Phone:409-692-1006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization