Provider Demographics
NPI:1336241793
Name:JONES, WILLIAM JEFFREY (PT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JEFFREY
Last Name:JONES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9333 FERNDALE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2732
Mailing Address - Country:US
Mailing Address - Phone:972-965-0840
Mailing Address - Fax:972-739-9117
Practice Address - Street 1:9333 FERNDALE RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2732
Practice Address - Country:US
Practice Address - Phone:972-965-0840
Practice Address - Fax:972-739-9117
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1140507225100000X, 2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86450TOtherBLUE CROSS/BLUE SHIELD
TX83844EMedicare PIN