Individual provider · Type 1 NPI

Teodorico H. Jaceldo, MD

General Practice Physician · San Antonio, TX

NPI number 1821271537 Active

Practice location

530 San Pedro, Suite Number 110
San Antonio, TX 78212-5007

Call (210) 697-5700 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XE5390 (TX)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1821271537

Teodorico H. Jaceldo, MD's National Provider Identifier is 1821271537, issued on Dec 17, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Antonio, TX. The record was last updated on Dec 17, 2007.