Healthcare Provider Details

I. General information

NPI: 1689867319
Provider Name (Legal Business Name): VIVIAN JONES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12850 DALLAS PKWY STE 200
FRISCO TX
75033-0844
US

IV. Provider business mailing address

12850 DALLAS PKWY STE 200
FRISCO TX
75033-0844
US

V. Phone/Fax

Practice location:
  • Phone: 469-678-7802
  • Fax: 833-972-5253
Mailing address:
  • Phone: 214-860-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number242069
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM6684
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: