MEDICARE: GISELE A. JONES, M.D., P.A.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	J8611	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00318T	OTHER	TX	MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1992985956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GISELE A. JONES, M.D., P.A.

Provider Business Mailing Address
First Line	:	18220 TOMBALL PKWY STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4370
Country	:	US
Telephone Number	:	281-807-6800
Fax Number	:	281-807-7770

Provider Business Practice Location Address
First Line	:	18220 TOMBALL PKWY STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4370
Country	:	US
Telephone Number	:	281-807-6800
Fax Number	:	281-807-7770

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GISELE JONES
Credential	:	M.D.
Telephone Number	:	281-807-6800

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	11/07/2007

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Directions to “GISELE A. JONES, M.D., P.A. ” Practice Location

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