SearchTexas207Q00000X

Jeff Ethridge, M.D

NPI 1154318095 · on the registry since 2005

Practice

Address
805 Kelly Creek Rd
Bulverde, TX 78163
Phone
(830) 980-1805
Fax
(830) 438-5662
Organisation at this address
Bulverde Family Medicine Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 3636 Medical Dr, San Antonio, TX
  • 111 Dallas St Fl 4, San Antonio, TX
  • 5757 N Knoll, San Antonio, TX

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207QH0002X
208M00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-21

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