Provider Demographics
NPI:1609957547
Name:JONES, ROBERTA J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:J
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12274 BANDERA RD STE 212
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4387
Mailing Address - Country:US
Mailing Address - Phone:210-857-7979
Mailing Address - Fax:210-344-9796
Practice Address - Street 1:12274 BANDERA RD STE 212
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4387
Practice Address - Country:US
Practice Address - Phone:210-857-7979
Practice Address - Fax:210-344-9796
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2010-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK29292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F8946Medicare PIN