Individual
DR. JENNIFER SUZANNE RETZLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1139 E SONTERRA BLVD, SUITE 405, SAN ANTONIO, TX 78258-4347
(210) 404-0000
(210) 404-2812
Mailing address
1139 E SONTERRA BLVD STE 405, SAN ANTONIO, TX 78258-4352
(210) 404-0000
(210) 404-2812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046708604
—
TX
01
—
8DY757
BCBSTX
TX
01
—
P01311293
RAILROAD MEDICARE
TX
Enumeration date
04/10/2007
Last updated
12/05/2024
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