Basic Information
| Provider Information | |||||||||
| NPI: | 1184913725 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | DORSEY | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | CNIM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5420 WEST LOOP S | ||||||||
| Address2: | SUITE 3100 | ||||||||
| City: | BELLAIRE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774012107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135816950 | ||||||||
| FaxNumber: | 7135816951 | ||||||||
| Practice Location | |||||||||
| Address1: | 5420 WEST LOOP S | ||||||||
| Address2: | SUITE 3100 | ||||||||
| City: | BELLAIRE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774012107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135816950 | ||||||||
| FaxNumber: | 7135816951 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2011 | ||||||||
| LastUpdateDate: | 04/05/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246ZE0600X | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.