Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 15513 | TX |
NPI | 1033392162 |
---|---|
Provider Name | Dr. Frank L. Jones |
First Address | Tomball, TX 77375-4518 |
Second Address | Tomball, TX 77375-4518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 16/02/2015 |