Organization Active NPI

P Jones Enterprises Inc

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1073103487
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
P JONES ENTERPRISES INC
Doing business as
RED BLUFF ALTERNATIVE FAMILY MED
Practice address
1400 McKinney St Unit 908
Houston, TX 77010-4051
Phone
(864) 993-1984
Fax
(914) 810-9609
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jed Graham, MD
Title
Owner
Phone
(864) 993-1984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1400 McKinney St Unit 908
Houston, TX 77010-4051

Mailing address

1400 McKinney St Unit 908
Houston, TX 77010-4051
Phone (864) 993-1984

Other names 1

  • RED BLUFF ALTERNATIVE FAMILY MED Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1073103487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MCKINNEY ST UNIT 908",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770104051",
            "telephone_number": "864-993-1984",
            "fax_number": "914-810-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MCKINNEY ST UNIT 908",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770104051",
            "telephone_number": "864-993-1984",
            "fax_number": "914-810-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P JONES ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-993-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED BLUFF ALTERNATIVE FAMILY MED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.