Individual
EMILIO JACQUES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4602 LORELEI DR, SAN ANTONIO, TX 78229-5034
(210) 589-6976
(210) 949-0311
Mailing address
4602 LORELEI DR, SAN ANTONIO, TX 78229-5034
(210) 589-6976
(210) 949-0311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
H9352
TX
207X00000X
Orthopaedic Surgery Physician
Primary
H9352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0132476
DPS
TX
Enumeration date
05/14/2010
Last updated
12/23/2010
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