Provider Demographics
NPI:1184867418
Name:JONES, JEREMY CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:CHRISTOPHER
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 N NEW BRAUNFELS AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6406 N NEW BRAUNFELS AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3827
Practice Address - Country:US
Practice Address - Phone:210-320-2563
Practice Address - Fax:210-320-2569
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1998207LP2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine