Provider Demographics
NPI:1265667356
Name:RELIEF JONES, III, M.D., PLLC
Entity Type:Organization
Organization Name:RELIEF JONES, III, M.D., PLLC
Other - Org Name:SAN ANTONIO EYE INSTITUTE, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RELIEF
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:210-485-1488
Mailing Address - Street 1:12227 HUEBNER RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1236
Mailing Address - Country:US
Mailing Address - Phone:210-485-1488
Mailing Address - Fax:210-485-1489
Practice Address - Street 1:12227 HUEBNER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1236
Practice Address - Country:US
Practice Address - Phone:210-485-1488
Practice Address - Fax:210-485-1489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4220207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2112401-01Medicaid
TX2112401-01Medicaid