Provider Demographics
NPI:1922378728
Name:JONES, ROY G (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:G
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 S FEDERAL HWY
Mailing Address - Street 2:STE 401
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7450
Mailing Address - Country:US
Mailing Address - Phone:561-361-7600
Mailing Address - Fax:561-883-8723
Practice Address - Street 1:10370 RICHMOND AVE
Practice Address - Street 2:STE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4141
Practice Address - Country:US
Practice Address - Phone:713-271-0952
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8240208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery