Provider Demographics
NPI:1396746152
Name:JONES, TIMOTHY ALLEN (CRNA, DNS)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ALLEN
Last Name:JONES
Suffix:
Gender:M
Credentials:CRNA, DNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 ARROYA RD
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-4805
Mailing Address - Country:US
Mailing Address - Phone:806-333-0629
Mailing Address - Fax:
Practice Address - Street 1:1809 ARROYA RD
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4805
Practice Address - Country:US
Practice Address - Phone:806-333-0629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX627147367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered