Provider Demographics
NPI:1982111951
Name:JONES, ERIC AMOS
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:AMOS
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:P.O. BOX 530263
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75053-0263
Mailing Address - Country:US
Mailing Address - Phone:469-822-1715
Mailing Address - Fax:
Practice Address - Street 1:303 PECAN ST
Practice Address - Street 2:
Practice Address - City:BARDWELL
Practice Address - State:TX
Practice Address - Zip Code:75101
Practice Address - Country:US
Practice Address - Phone:469-822-1715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-29
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN.E.M.T.343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)