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Individual

JESUS ROGELIO GARCIA JACQUES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3913
(210) 297-4000
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
R4224
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
232667
MA MEDICAL LISCENCE
MA
01
R4224
MEDICAL LICENSE
TX
Enumeration date
06/01/2008
Last updated
02/12/2024
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