Individual
JARED ELDON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6255
(210) 292-7934
Mailing address
1100 WILFORD HALL LOOP, SAN ANTONIO, TX 78236-5638
(210) 292-8808
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
S5483
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
S5483
TX
390200000X
Student in an Organized Health Care Education/Training Program
S5483
TX
Other
Enumeration date
03/11/2014
Last updated
02/12/2026
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