Individual
MS. JENNIFER JEAN APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 SCHOFIELD RD, BUILDING 1179, FORT SAM HOUSTON, TX 78234-7577
(210) 808-2457
(210) 808-3515
Mailing address
20403 LIATRIS LN, SAN ANTONIO, TX 78259-2251
(210) 857-0427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA07386
TX
Other
Enumeration date
10/18/2011
Last updated
10/08/2013
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