Individual
DR. JESSE LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-6807
(210) 916-4530
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-6807
(210) 916-4530
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102206917
VA
Other
Enumeration date
05/06/2020
Last updated
02/14/2022
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