Individual
CHARLES A JEFFREYS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 BROOKLYN AVE, SAN ANTONIO, TX 78212-4828
(210) 271-3910
(210) 682-9090
Mailing address
PO BOX 152, SAN ANTONIO, TX 78291-0152
(210) 271-3910
(210) 682-9090
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H4971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122703505
—
TX
Enumeration date
09/01/2005
Last updated
07/08/2007
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