Individual
MRS. JODI LEE SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ANP
Contact information
Practice address
4241 WOODCOCK DR, SUITE A-100, SAN ANTONIO, TX 78228-1328
(210) 785-5255
(210) 785-5389
Mailing address
15202 FALL PLACE DR, SAN ANTONIO, TX 78247-3226
(210) 499-4848
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
722046
TX
Other
Enumeration date
06/11/2007
Last updated
10/05/2010
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