Jacob Daniel Ethridge PA

  • NPI 1104301852
According to our database, the NPI number for Jacob Daniel Ethridge PA is 1104301852 and activated since 5 years ago. Jacob Daniel Ethridge PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 5282 Medical Dr Ste 250, San Antonio, TX 78229. You can also contact Jacob Daniel Ethridge PA via telephone number is (210) 341-9614. Provider NPI information was last updated on 09/28/2018.

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Overview of Jacob Daniel Ethridge PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/28/2018
  • Last updated: 09/28/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: TEMPORARY
  • License State: TX

Provider Mailing Address

  • Address: 5282 Medical Dr Ste 250
    San Antonio, TX 78229
  • Phone: 210-341-9614
  • Fax:

Provider Practice Location

  • Address: 5282 Medical Dr Ste 250
    San Antonio, TX 78229
  • Phone: 210-341-9614
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: TEMPORARY
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacob Daniel Ethridge PA?
  • A: The npi number for Jacob Daniel Ethridge PA is 1104301852.
  • Q: What are Jacob Daniel Ethridge PA's specialties?
  • A: Jacob Daniel Ethridge PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jacob Daniel Ethridge PA?
  • A: The medical license number for Jacob Daniel Ethridge PA is TEMPORARY and issued in TX in USA.
  • Q: Where is Jacob Daniel Ethridge PA practice location?
  • A: Jacob Daniel Ethridge PA is practicing at 5282 Medical Dr Ste 250, San Antonio, TX 78229.
  • Q: How to contact Jacob Daniel Ethridge PA?
  • A: You can contact Jacob Daniel Ethridge PA via 210-341-9614.