Healthcare Provider Details

I. General information

NPI: 1285961995
Provider Name (Legal Business Name): DR. LILLIAN M JONES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7922 EWING HALSELL DR STE 160
SAN ANTONIO TX
78229-3897
US

IV. Provider business mailing address

7922 EWING HALSELL DR STE 160
SAN ANTONIO TX
78229-3897
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-5665
  • Fax: 210-614-5784
Mailing address:
  • Phone: 210-614-5665
  • Fax: 210-614-5784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateTX

VIII. Authorized Official

Name: IRALINE N LEWIS
Title or Position: MEDICAL BILLER
Credential:
Phone: 210-614-5665