Provider Demographics
NPI:1831414861
Name:JONES, ANGEL'A M
Entity type:Individual
Prefix:
First Name:ANGEL'A
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3202 PALSTON BEND LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1432
Mailing Address - Country:US
Mailing Address - Phone:713-416-1246
Mailing Address - Fax:281-877-0143
Practice Address - Street 1:12921 KUYKENDAHL RD STE 35
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6701
Practice Address - Country:US
Practice Address - Phone:713-416-1246
Practice Address - Fax:281-877-0143
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist