Individual
DR. JASON ALEXANDER KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 644-7902
(210) 358-4750
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 644-7902
(210) 358-4750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M2364
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
M2364
TX
Other
Enumeration date
12/05/2006
Last updated
12/23/2025
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