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Jessica Doctor, MD
Military Health Care Provider in Fort Sam Houston, Texas
NPI 1497349211

Jessica Doctor is a Military Health Care Provider based in Fort Sam Houston, TX. Jessica Doctor practices in Fort Sam Houston, TX and has the professional credentials of MD. The NPI Number for Jessica Doctor is 1497349211 and holds a License No. U1261 (Texas).

The current practice location address for Jessica Doctor is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-4789.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497349211
Provider Name
Jessica Doctor
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-4789
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4789
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4789
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
U1261 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
U1261 (Texas)
Definition
Definition to come...
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