Individual
JAWUN JILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18111 LA CANTERA TER APT 1102, SAN ANTONIO, TX 78256-2674
(318) 564-4197
Mailing address
18111 LA CANTERA TER APT 1102, SAN ANTONIO, TX 78256-2674
(318) 564-4197
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
207210
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
1188698
TX
Other
Enumeration date
12/11/2023
Last updated
01/22/2025
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