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NPI Code Detail

MEDICARE: DR. JACOB MICHAEL JONES DPM

MEDICARE: DR. JACOB MICHAEL JONES DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristSC007010PA
2213ES0103XFoot & Ankle Surgery PodiatristPOD455NM
3213ES0103XFoot & Ankle Surgery Podiatrist692110TX

General Provider Information

NPI Number : 1407317464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACOB MICHAEL JONES DPM
Provider Business Mailing Address
First Line : 20639 KUYKENDAHL RD STE 200
Second Line :
City : SPRING
State : TX
Zip : 77379-3587
Country : US
Telephone Number : 832-598-0111
Fax Number : 832-698-0150
Provider Business Practice Location Address
First Line : 20639 KUYKENDAHL RD STE 200
Second Line :
City : SPRING
State : TX
Zip : 77379-3587
Country : US
Telephone Number : 832-698-0111
Fax Number : 832-698-0150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2019
Last Update Date : 06/12/2026

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