MEDICARE: MR. NEIL JOSEPH JONES CPO

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	335E00000X	Prosthetic/Orthotic Supplier	1838	TX

General Provider Information

NPI Number	:	1417450032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NEIL JOSEPH JONES CPO

Provider Business Mailing Address
First Line	:	3505 OLSEN BLVD STE 211
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-3032
Country	:	US
Telephone Number	:	940-768-8788
Fax Number	:

Provider Business Practice Location Address
First Line	:	3505 OLSEN BLVD STE 211
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-3032
Country	:	US
Telephone Number	:	940-768-8788
Fax Number	:

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

Provider Enumeration Date	:	03/09/2018
Last Update Date	:	07/25/2023

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