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Dr. Jared Daddario, DO
Military Health Care Provider in Jbsa-Fort Sam Houston, Texas
NPI 1457050171

Jared Daddario is a Military Health Care Provider based in Jbsa-Fort Sam Houston, TX. Jared Daddario practices in Jbsa-Fort Sam Houston, TX and has the professional credentials of DO. The NPI Number for Jared Daddario is 1457050171 and holds a License No. (Texas).

The current practice location address for Jared Daddario is 3551 Roger Brooke Dr, Jbsa-Fort Sam Houston, TX and can be reached out via phone at 210-292-7805 and via fax at 210-292-7868.

Location: 3551 Roger Brooke Dr, Jbsa-Fort Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457050171
Provider Name
Jared Daddario
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa-Fort Sam Houston, TX, 78234-4504
Phone Number
210-292-7805
Fax Number
210-292-7868
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-292-7805
Fax Number
210-292-7868
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa-Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-292-7805
Fax Number
210-292-7868
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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