=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134699416
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AUDREY LEE JONES DO, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2018
-----------------------------------------------------
Last Update Date | 08/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 803 MAIN ST
-----------------------------------------------------
City | ALAMO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78516-2520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-325-3138
-----------------------------------------------------
Fax | 956-601-0911
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 803 MAIN ST
-----------------------------------------------------
City | ALAMO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78516-2520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-325-3138
-----------------------------------------------------
Fax | 956-601-0911
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | AUDREY LEE JONES
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 956-325-3138
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------