MEDICARE: DR. LEROY A JONES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	F86704	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518947613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEROY A JONES MD

Provider Business Mailing Address
First Line	:	7909 FREDERICKSBURG RD
Second Line	:	SUITE #110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3425
Country	:	US
Telephone Number	:	210-614-4544
Fax Number	:	210-679-3724

Provider Business Practice Location Address
First Line	:	7909 FREDERICKSBURG RD
Second Line	:	SUITE #120
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3425
Country	:	US
Telephone Number	:	210-614-4544
Fax Number	:	210-582-5522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	11/09/2011

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Directions to “ DR. LEROY A JONES MD” Practice Location

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