Provider Demographics
NPI:1740797620
Name:JONES, JESSE
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23092 EL CAMPO RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-4147
Mailing Address - Country:US
Mailing Address - Phone:956-357-0446
Mailing Address - Fax:956-230-0300
Practice Address - Street 1:23092 EL CAMPO RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-4147
Practice Address - Country:US
Practice Address - Phone:956-357-0446
Practice Address - Fax:956-230-0300
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy