MEDICARE: CECILIA JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	171M00000X	Case Manager/Care Coordinator
3	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1902284318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA JONES

Provider Business Mailing Address
First Line	:	5831 LE CARPE PLANTATION CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-5373
Country	:	US
Telephone Number	:	713-304-8590
Fax Number	:

Provider Business Practice Location Address
First Line	:	5831 LE CARPE PLANTATION CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-5373
Country	:	US
Telephone Number	:	713-304-8590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2015
Last Update Date	:	05/19/2015

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Directions to “ CECILIA JONES ” Practice Location

Language	Start Address	Practice Location

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