=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306921085
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIC A. JONES MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2006
-----------------------------------------------------
Last Update Date | 03/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6410 FANNIN ST STE 950
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77030-5204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-325-7234
-----------------------------------------------------
Fax | 713-512-2221
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7900 FANNIN ST SUITE 3700
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77054-2934
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-795-5160
-----------------------------------------------------
Fax | 713-795-5132
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2088P0231X
-----------------------------------------------------
Taxonomy Name | Pediatric Urology Physician
-----------------------------------------------------
License Number | L2358
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------