Individual
JESSICA GRACY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 E SONTERRA BLVD STE 5102, SAN ANTONIO, TX 78258-4289
(210) 490-8888
Mailing address
1314 E SONTERRA BLVD STE 5102, SAN ANTONIO, TX 78258-4289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T8540
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
07/21/2022
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