Individual
TIMOTHY JAQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 SPURS LN, STE. 100, SAN ANTONIO, TX 78240-1669
(210) 614-6070
(210) 615-6814
Mailing address
21 SPURS LN, STE. 100, SAN ANTONIO, TX 78240-1669
(210) 614-6070
(210) 615-6814
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80382
TX
Other
Enumeration date
05/24/2011
Last updated
07/11/2012
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