Healthcare Provider Details

I. General information

NPI: 1316133119
Provider Name (Legal Business Name): MELISSA JOY FREI-JONES MD, MSCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 MEDICAL DR FL 10
SAN ANTONIO TX
78229-4402
US

IV. Provider business mailing address

7703 FLOYD CURL DR # 7810
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 210-743-2300
  • Fax: 210-702-6012
Mailing address:
  • Phone: 210-567-7477
  • Fax: 210-567-7466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number2005010624
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberM9288
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: