Individual
JACOB WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
(210) 525-1668
(210) 525-1669
Mailing address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
(210) 525-1668
(210) 525-1669
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135236
TX
Other
Enumeration date
11/09/2016
Last updated
08/06/2019
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