Provider Demographics
NPI:1629295019
Name:JONES, BENJAMIN (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
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 1:11585 ALAMO RANCH PKWY
Mailing Address - Street 2:APT. 3107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6168
Mailing Address - Country:US
Mailing Address - Phone:713-822-6496
Mailing Address - Fax:
Practice Address - Street 1:11585 ALAMO RANCH PKWY
Practice Address - Street 2:APT. 3107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6168
Practice Address - Country:US
Practice Address - Phone:713-822-6496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3767207P00000X
IN01088618A207P00000X
PAMT189238207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine