| Jacob Daniel Ethridge, PA | |
|
1150 N Loop 1604 W Ste 150, San Antonio, TX 78248-4505 | |
| (281) 783-8162 | |
| (713) 439-7995 |
| Full Name | Jacob Daniel Ethridge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1150 N Loop 1604 W Ste 150, San Antonio, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104301852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | TEMPORARY (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA12348 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nluc Pllc | 3072752302 | 215 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Daniel Ethridge, PA 2925 Briarpark Dr Ste 575, Houston, TX 77042-3776 Ph: (832) 626-2842 | Jacob Daniel Ethridge, PA 1150 N Loop 1604 W Ste 150, San Antonio, TX 78248-4505 Ph: (281) 783-8162 |
Robert A Raposo, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2235 Thousand Oaks Dr, Suite 117, San Antonio, TX 78232 Phone: 210-490-1000 Fax: 210-490-3806 | |
Ms. Marizu Borrego, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19272 Stone Oak Pkwy, Suite 101, San Antonio, TX 78258 Phone: 210-265-8851 Fax: 210-265-8855 | |
Anissa Juarez Ramirez, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 Pleasanton Rd, San Antonio, TX 78214 Phone: 210-921-3800 Fax: 210-334-2851 | |
Jordan Gallo Jacobs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6315 S Zarzamora St, San Antonio, TX 78211 Phone: 210-977-1900 Fax: 210-977-9326 | |
Alissa Nicole Robbins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9819 Huebner Rd Ste 113, San Antonio, TX 78240 Phone: 210-692-0101 Fax: 210-692-7615 | |
Echo J Walby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-261-1000 Fax: 210-731-8678 | |
William Morris, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, Mc 7977, San Antonio, TX 78229 Phone: 210-257-1400 Fax: 210-257-1428 |