Provider Demographics
NPI:1982949657
Name:JONES, MARK WHITTINGTON (PA-C)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:WHITTINGTON
Last Name:JONES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6800 PARK TEN BLVD STE 200S
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4293
Mailing Address - Country:US
Mailing Address - Phone:210-261-1060
Mailing Address - Fax:
Practice Address - Street 1:711 E JOSEPHINE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78208-1027
Practice Address - Country:US
Practice Address - Phone:210-261-3800
Practice Address - Fax:210-858-9990
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2024-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA08082363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant