Healthcare Provider Details

I. General information

NPI: 1174191159
Provider Name (Legal Business Name): AMY BRIANNA JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25311 INTERSTATE 45 STE C
SPRING TX
77380-3534
US

IV. Provider business mailing address

25305 INTERSTATE 45
THE WOODLANDS TX
77380-3534
US

V. Phone/Fax

Practice location:
  • Phone: 281-868-7246
  • Fax:
Mailing address:
  • Phone: 281-868-7246
  • Fax: 281-868-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberV1502
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: