Individual
DR. JEFFREY CALDWELL MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7703 FLOYD CURL DR, MAIL CODE 7888, SAN ANTONIO, TX 78229-3901
(210) 567-0146
(210) 567-6603
Mailing address
13510 LANDS END, SAN ANTONIO, TX 78231-2259
(210) 408-1692
(210) 567-6603
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178728503
—
TX
05
—
178728505
—
TX
Enumeration date
01/10/2006
Last updated
07/18/2011
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