Healthcare Provider Details

I. General information

NPI: 1619949211
Provider Name (Legal Business Name): AMY RENEE JONES PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 BEE CAVES RD STE L315
WEST LAKE HILLS TX
78746-5280
US

IV. Provider business mailing address

10838 REDMOND RD
AUSTIN TX
78739-1623
US

V. Phone/Fax

Practice location:
  • Phone: 512-697-3744
  • Fax: 512-697-3745
Mailing address:
  • Phone: 512-203-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43677
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: