Individual
JAKE ANTHONY WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-0808
(210) 916-6654
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-0808
(210) 916-6654
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101287410
VA
Other
Enumeration date
03/04/2024
Last updated
10/26/2025
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