Basic Information
Provider Information
NPI: 1184690034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: KAREN
MiddleName: JOHNSTON
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7500 BARLITE BLVD
Address2: SUITE 311
City: SAN ANTONIO
State: TX
PostalCode: 782241363
CountryCode: US
TelephoneNumber: 2105985605
FaxNumber: 2105985620
Practice Location
Address1: 7500 BARLITE BLVD
Address2: SUITE 311
City: SAN ANTONIO
State: TX
PostalCode: 782241361
CountryCode: US
TelephoneNumber: 2105985605
FaxNumber: 2105985620
Other Information
ProviderEnumerationDate: 02/28/2006
LastUpdateDate: 09/21/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0106XJ7530TXY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery

ID Information
IDTypeStateIssuerDescription
13050880705TX MEDICAID


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