Individual
DR. DOUGLAS W. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 DALLAS ST, SAN ANTONIO, TX 78205-1202
(210) 224-1771
(210) 229-9138
Mailing address
124 DALLAS ST, SAN ANTONIO, TX 78205-1202
(210) 224-1771
(210) 229-9138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E1629
TX
207RP1001X
Pulmonary Disease Physician
E1629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118195002
—
TX
Enumeration date
08/18/2006
Last updated
06/27/2013
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