Organization
LISA D. JONES, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA D. JONES M.D. (OWNER)
(512) 947-1107
Entity
Organization
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, SUITE K1, AUSTIN, TX 78759-8661
(512) 947-1107
Mailing address
4111 BLUFFRIDGE DR, AUSTIN, TX 78759-7353
(512) 947-1107
(512) 343-0310
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H4299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612818
MEDICARE PTAN
TX
Enumeration date
05/21/2007
Last updated
04/10/2009
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