Individual
JENNA MACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E QUINCY ST, SUITE 500, SAN ANTONIO, TX 78215-2039
(210) 223-1600
(210) 271-3434
Mailing address
2961 MOSSROCK, SAN ANTONIO, TX 78230-5119
(210) 731-4800
(210) 731-4810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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