MEDICARE: MRS. URSULA TAMARA JONES PT

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	225100000X	Physical Therapist	1175430	TX

General Provider Information

NPI Number	:	1912285206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. URSULA TAMARA JONES PT

Provider Business Mailing Address
First Line	:	2716 TRAVIS DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2089
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2716 TRAVIS DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2089
Country	:	US
Telephone Number	:	817-375-5246
Fax Number	:

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

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	10/29/2025

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