Provider Demographics
NPI:1144249921
Name:JONES, LILLIAN M (MD)
Entity type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7922 EWING HALSELL DR
Mailing Address - Street 2:STE 420
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3786
Mailing Address - Country:US
Mailing Address - Phone:210-614-8900
Mailing Address - Fax:210-614-8901
Practice Address - Street 1:7922 EWING HALSELL DR
Practice Address - Street 2:STE 420
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3786
Practice Address - Country:US
Practice Address - Phone:210-614-8900
Practice Address - Fax:210-614-8901
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF3226207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113433002Medicaid
TX742529053OtherTAX ID
TX00TM10Medicare ID - Type UnspecifiedMEDICARE
TX113433002Medicaid