MEDICARE: DR. RELIEF JONES III M.D.

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	207W00000X	Ophthalmology Physician	M4220	TX

General Provider Information

NPI Number	:	1679546188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RELIEF JONES III M.D.

Provider Business Mailing Address
First Line	:	12227 HUEBNER RD
Second Line	:	SUITE 110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1236
Country	:	US
Telephone Number	:	210-485-1488
Fax Number	:	210-485-1489

Provider Business Practice Location Address
First Line	:	12227 HUEBNER RD
Second Line	:	SUITE 110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1236
Country	:	US
Telephone Number	:	210-485-1488
Fax Number	:	210-485-1489

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	05/04/2010

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