Healthcare Provider Details

I. General information

NPI: 1780515502
Provider Name (Legal Business Name): JONES MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2507 HODGES ST
LAKE CHARLES LA
70601-7309
US

IV. Provider business mailing address

2507 HODGES ST
LAKE CHARLES LA
70601-7309
US

V. Phone/Fax

Practice location:
  • Phone: 337-513-6121
  • Fax: 877-794-0365
Mailing address:
  • Phone: 337-513-6121
  • Fax: 877-794-0365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA JONES
Title or Position: OWNER
Credential: MD
Phone: 337-513-6121