Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2005014660 | MO |
N | 111NI0900X | Internist | 2005014660 | MO |
Y | 207RI0200X | Infectious Disease | L8752 | TX |
NPI | 1003934647 |
---|---|
Provider Name | Dr. Jeffrey Claiborne Jones |
First Address | San Antonio, TX 78229 |
Second Address | San Antonio, TX 78229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 19/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I10495 | (02) | TX |