Most Relevant Information
Provider Data
| NPI Number: | 1003225855 |
| Provider Name: | JORDAN GALLO JACOBS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA09391 |
Most Important Dates
| Enumeration Date: | 08/06/2014 |
| Last Updated: | 02/17/2015 |
Provider Practice Location
6315 S ZARZAMORA ST
SAN ANTONIO
TX
782113218
Practice Location Phone/Fax
| Phone: | 2109771900 |
| Fax: | 2109779326 |
Provider Mailing Location
3750 COMMERCIAL AVE
SAN ANTONIO
TX
782213117
Provider Mailing Phone/Fax
| Phone: | 2103343750 |
| Fax: | 2109220162 |