Individual
DR. JENNIFER JADE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4242 MEDICAL DR, SUITE 3100, SAN ANTONIO, TX 78229-5640
(210) 615-1187
(210) 614-2180
Mailing address
PO BOX 34717, SAN ANTONIO, TX 78265-4717
(210) 615-1187
(210) 614-2180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10036716
TX
207L00000X
Anesthesiology Physician
Primary
P9571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402984-01
—
TX
Enumeration date
06/04/2010
Last updated
05/19/2015
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