Individual
JACOB MAX FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R9209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398533501
—
TX
Enumeration date
04/05/2016
Last updated
07/22/2019
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