Individual
JACOB MICHAEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
6905 RIVER PARK LN N APT 713, BENBROOK, TX 76116-1121
(817) 323-7087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
V8345
TX
Other
Enumeration date
04/27/2022
Last updated
09/19/2025
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