Provider Demographics
NPI:1982680161
Name:TAYLOR-JONES, LEY L (DO)
Entity Type:Individual
Prefix:
First Name:LEY
Middle Name:L
Last Name:TAYLOR-JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:972-715-9976
Practice Address - Street 1:13737 NOEL ROAD
Practice Address - Street 2:SUITE 1400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7402207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147727509Medicaid
TX364073YK6UOtherMEDICARE
TXP01446966OtherRR
TX8EH554OtherBCBS
TX89182KMedicare PIN
TX8EH554OtherBCBS
G94277Medicare UPIN
TXP01446966OtherRR
TX8644B2Medicare PIN
TX147727508OtherMEDICAID CSHCN
TX147727507OtherMEDICAID CSHCN
TX8644B2Medicare PIN