Individual
DR. MICHAEL C JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 S ADAMS ST, FREDERICKSBURG, TX 78624-4444
(830) 997-9507
(830) 997-0583
Mailing address
703 S ADAMS ST, FREDERICKSBURG, TX 78624-4444
(830) 997-9507
(830) 997-0583
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
F4131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FP77
BCBS PROVIDER #
TX
01
—
0616600001
MEDICARE PALMETTO DME #
TX
05
—
126479804
—
TX
01
—
340001356
MEDICARE RAILROAD #
TX
Enumeration date
06/15/2006
Last updated
03/30/2017
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