Healthcare Provider Details

I. General information

NPI: 1922405760
Provider Name (Legal Business Name): JACK JORDAN JONES ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W RANDOL MILL RD
ARLINGTON TX
76012-2512
US

IV. Provider business mailing address

6228 CAMP BOWIE BLVD
FORT WORTH TX
76116-5525
US

V. Phone/Fax

Practice location:
  • Phone: 817-795-6000
  • Fax: 817-795-6005
Mailing address:
  • Phone: 817-832-9768
  • Fax: 817-735-8773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MR. JACK J JONES
Title or Position: PRESIDENT
Credential:
Phone: 817-832-9768