Individual
DR. KEVIN T. JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4721 GARTH RD, SUITE A-300, BAYTOWN, TX 77521-2153
(281) 427-1115
Mailing address
4721 GARTH RD, SUITE A-300, BAYTOWN, TX 77521-2153
(281) 427-1115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128059601
—
TX
05
—
128059602
—
TX
05
—
128059603
—
TX
01
—
680007408
RAIL ROAD
TX
01
—
86111A
BLUE CROSS BLUE SHIELD
TX
05
—
P000DX100
—
TX
Enumeration date
06/26/2006
Last updated
07/09/2007
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