Provider Demographics
NPI:1336528066
Name:JONES, MELISSA (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4241 SOUTHWEST BLVD
Mailing Address - Street 2:STE 106
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-5687
Mailing Address - Country:US
Mailing Address - Phone:325-947-2225
Mailing Address - Fax:325-947-3019
Practice Address - Street 1:4241 SOUTHWEST BLVD
Practice Address - Street 2:STE 106
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-5687
Practice Address - Country:US
Practice Address - Phone:325-947-2225
Practice Address - Fax:325-947-3019
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12715111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor