Individual
DR. JENNIFER JOY LACOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 949-3060
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q8278
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Q8278
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
Q8278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358925101
—
TX
01
—
358925102
CSHCN
TX
Enumeration date
04/04/2012
Last updated
02/05/2025
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