NPI 1003225855

Jordan Gallo Jacobs, PAC

Practitioner Physician Assistant San Antonio, TX

Practice location

Address: 6315 S Zarzamora St, San Antonio, TX 78211-3218
Phone: (210) 977-1900
Fax: (210) 977-9326
Mailing address: 3750 Commercial Ave, San Antonio, TX 78221-3117

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA09391 (TX)

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Registry record

NPI: 1003225855
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2014
Record last updated: 17 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.