Provider Demographics
NPI:1942200662
Name:JONES, DAN ELWIN (DPM)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:ELWIN
Last Name:JONES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 E HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2706
Mailing Address - Country:US
Mailing Address - Phone:972-572-5990
Mailing Address - Fax:972-572-5994
Practice Address - Street 1:938 E HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-2706
Practice Address - Country:US
Practice Address - Phone:972-572-5990
Practice Address - Fax:972-572-5994
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0984213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00DX48Medicare ID - Type Unspecified
TXT14096Medicare UPIN