Individual provider · Type 1 NPI

Jacqueline Danielle Vidosh, MD

Obstetrics & Gynecology Physician · San Antonio, TX

NPI number 1760772479 Active

Practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Call (210) 704-3030 Map

Mailing address

315 N San Saba Ste 1135
San Antonio, TX 78207-3255

Other practice locations

3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (210) 539-9582
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 · (210) 292-8966

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician	207V00000X	01073696A (IN)
Obstetrics & Gynecology Physician Primary	207V00000X	R9034 (TX)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1760772479

Jacqueline Danielle Vidosh, MD's National Provider Identifier is 1760772479, issued on Apr 14, 2011. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 6, 2026.