Healthcare Provider Details

I. General information

NPI: 1275128134
Provider Name (Legal Business Name): SYDNIE JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOK DR, JBSA- FT SAM HOUSTON SAMMC, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY
SAN ANTONIO TX
78234-4504
US

IV. Provider business mailing address

3551 ROGER BROOK DR, JBSA- FT SAM HOUSTON SAMMC, MCHE-ZDM-M, NEUROLOGY
SAN ANTONIO TX
78234-4504
US

V. Phone/Fax

Practice location:
  • Phone: 210-292-7805
  • Fax: 210-292-7868
Mailing address:
  • Phone: 210-916-2203
  • Fax: 210-916-3833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number35462
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35462
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: