Individual provider · Type 1 NPI
Jared Eldon Roberts, MD
MOHS-Micrographic Surgery Physician · Jbsa Lackland, TX
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Fax (210) 292-7934
Mailing address
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Other practice locations
- 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (210) 292-6255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | S5483 (TX) |
| Student in an Organized Health Care Education/Training Program | 390200000X | S5483 (TX) |
| MOHS-Micrographic Surgery Physician Primary | 207ND0101X | S5483 (TX) |
MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…
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- Allen Kyle Smithson, MS, RD, CSSD, LDNRegistered Dietitian Jbsa Lackland, TX NPI 1942763859
- Allison Shea Gonzales, PT, DPTPhysical Therapist Jbsa Lackland, TX NPI 1114406378
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About NPI 1629494935
Jared Eldon Roberts, MD's National Provider Identifier is 1629494935, issued on Mar 11, 2014. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Feb 12, 2026.