Healthcare Provider Details

I. General information

NPI: 1245451913
Provider Name (Legal Business Name): ALAN JONES D.O. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 BERTHA HOWE AVE STE 6
MESQUITE NV
89027-7502
US

IV. Provider business mailing address

564 DESERT TORTOISE WAY
MESQUITE NV
89027-2940
US

V. Phone/Fax

Practice location:
  • Phone: 702-346-1131
  • Fax: 702-346-2331
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number1143
License Number StateNV

VIII. Authorized Official

Name: DR. ALAN JONES
Title or Position: PRESIDENT
Credential: D.O.
Phone: 702-346-1131