MEDICARE: JOHN KERRISON JONES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YP0228X	Pediatric Otolaryngology Physician	E8006	TX

General Provider Information

NPI Number	:	1174518468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN KERRISON JONES MD

Provider Business Mailing Address
First Line	:	6550 FANNIN ST
Second Line	:	SUITE 1701
City	:	HOUSTON
State	:	TX
Zip	:	77030-2717
Country	:	US
Telephone Number	:	713-798-8291
Fax Number	:	713-798-5294

Provider Business Practice Location Address
First Line	:	6701 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2316
Country	:	US
Telephone Number	:	832-822-3250
Fax Number	:	832-825-1622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	03/30/2010

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