Provider Demographics
NPI:1275128134
Name:JONES, SYDNIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SYDNIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3551 ROGER BROOK DR, JBSA- FT SAM HOUSTON
Mailing Address - Street 2:SAMMC, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-292-7805
Mailing Address - Fax:210-292-7868
Practice Address - Street 1:3551 ROGER BROOK DR, JBSA- FT SAM HOUSTON
Practice Address - Street 2:SAMMC, MCHE-ZDM-M, INTERNAL MEDICINE RESIDENCY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-292-7805
Practice Address - Fax:210-292-7868
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NE35462208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program