Provider Demographics
NPI:1578331468
Name:JONES, COLLIN MICHAEL (NREMT-A, CAS)
Entity type:Individual
Prefix:
First Name:COLLIN
Middle Name:MICHAEL
Last Name:JONES
Suffix:
Gender:M
Credentials:NREMT-A, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21625 COUNTY ROAD 3749
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-5759
Mailing Address - Country:US
Mailing Address - Phone:832-454-7991
Mailing Address - Fax:
Practice Address - Street 1:21625 COUNTY ROAD 3749
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-5759
Practice Address - Country:US
Practice Address - Phone:832-454-7991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAS24407733225C00000X
TX746020146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Single Specialty