Most Relevant Information
Provider Data
| NPI Number: | 1003420571 |
| Provider Name: | ANTONIO JONES |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | MT012150 |
Most Important Dates
| Enumeration Date: | 09/02/2020 |
| Last Updated: | 07/10/2023 |
Provider Practice Location
2929 KINGS RD APT 6105
DALLAS
TX
752196156
Practice Location Phone/Fax
| Phone: | 4047078721 |
| Fax: |
Provider Mailing Location
2929 KINGS RD APT 6105
DALLAS
TX
752196156
Provider Mailing Phone/Fax
| Phone: | 4047078721 |
| Fax: |