Provider Demographics
NPI:1386012433
Name:JEREMY C. JONES, MD PLLC
Entity Type:Organization
Organization Name:JEREMY C. JONES, MD PLLC
Other - Org Name:LOTUS SPINE AND PAIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-320-2563
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:210-320-2563
Mailing Address - Fax:210-320-2569
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-07
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1998208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty