Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON WAYNE JONES, LCDC BS
Active Sole ProprietorGORDON WAYNE JONES, LCDC BS is a Substance Abuse Rehabilitation Facility healthcare provider located in WACO, Texas. NPI 1396962619 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · WACO, TX
Registration Details
- NPI Number
- 1396962619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.329645860911 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1619 WASHINGTON AVEWACO, TX, 767011134Browse TX providers · Browse ZIP 76701
- Phone
- 2547533626
- Fax
- 2547530715
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.