Provider Demographics
NPI:1821022914
Name:JONES, JAMES BURTON (MD PA)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BURTON
Last Name:JONES
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-6133
Mailing Address - Country:US
Mailing Address - Phone:409-886-4407
Mailing Address - Fax:409-886-5303
Practice Address - Street 1:2607 WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630
Practice Address - Country:US
Practice Address - Phone:409-886-4407
Practice Address - Fax:409-886-5303
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128053902Medicaid
D66674Medicare UPIN
TX128053902Medicaid