Individual
PAUL ERNEST JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 REDWOOD RD, STE C, SAN MARCOS, TX 78666-1423
(512) 353-8661
Mailing address
PO BOX 987, SAN MARCOS, TX 78667-0987
(512) 353-8661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G8877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8877
TEXAS M.D. LICENSE
TX
Enumeration date
01/10/2007
Last updated
08/08/2019
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