Provider Demographics
NPI:1134299696
Name:JONES, MARK SIBLEY (DMIN)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:SIBLEY
Last Name:JONES
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 RIM OAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2604
Mailing Address - Country:US
Mailing Address - Phone:210-260-9949
Mailing Address - Fax:210-390-0816
Practice Address - Street 1:13333 BLANCO RD STE 220
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7755
Practice Address - Country:US
Practice Address - Phone:210-260-9949
Practice Address - Fax:210-390-0816
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10554101YP2500X
TX000661034102106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86307QOtherBCBS