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Jacob Ethridge, PA
NPI 1104301852 · on the registry since 2018
Practice
- Address
- 1150 N Loop 1604 W Ste 150
San Antonio, TX 78248 - Phone
- (281) 783-8162
- Fax
- (713) 439-7995
- Organisation at this address
- Nluc Pllc
Rediclinic, Llc
David I. Tasker, Mdpa
Dme-10 Global Xpress IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 10423 State Highway 151 Ste 101, San Antonio, TX
- 5282 Medical Dr Ste 250, San Antonio, TX
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas