SearchTexas208D00000X

Teodorico Jaceldo, M.D

NPI 1821271537 · on the registry since 2007 · sole proprietor

Practice

Address
530 San Pedro
Suite Number 110
San Antonio, TX 78212
Phone
(210) 697-5700

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-12-17

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