Individual
JACLYN LIZETTE HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8900
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-8900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
V2346
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
V2346
TX
Other
Enumeration date
04/24/2016
Last updated
01/13/2025
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