Individual
JACOB D MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(802) 999-6072
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(802) 999-6072
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01087604A
IN
208800000X
Urology Physician
55691
KY
208800000X
Urology Physician
W0230
TX
Other
Enumeration date
04/19/2015
Last updated
04/22/2026
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