Jeff D Ethridge
Family Doctor Family Doctor - Hospice and Palliative Medicine
805 Kelly Creek Rd
Bulverde
, Texas 78163-3035
Jeff D Ethridge
Family Doctor Family Doctor - Hospice and Palliative Medicine
805 Kelly Creek Rd
Bulverde
, Texas 78163-3035
(830) 438-5662
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Jeff D Ethridge
- 805 Kelly Creek Rd
- Bulverde, TX
- Zip : 78163-3035
- Fax : (830) 438-5662
- Phone : (830) 980-1805
Second Address
- Jeff D Ethridge
- 805 Kelly Creek Rd
- Bulverde, TX
- Zip : 78163-3035
- Fax : (830) 438-5662
- Phone : (830) 980-1805
Reviews
FAQs
Where did Jeff D Ethridge attend graduate school?
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Is Jeff D Ethridge board certified?
What type of doctor is Jeff D Ethridge
In what state does Jeff D Ethridge practice in?
Where is Jeff D Ethridge ’s practice located?
What is Jeff D Ethridge ’s gender?
Is Jeff D Ethridge a sole practitioner?
Is Jeff D Ethridge accepting new patients?
What languages does Jeff D Ethridge speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | L6877 | TX |
| N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | L6877 | TX |
National Provider Identifier
| NPI | 1154318095 |
|---|---|
| Provider Name | Jeff D Ethridge |
| First Address | Bulverde, TX 78163-3035 |
| Second Address | Bulverde, TX 78163-3035 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2005 |
| Last Update Date | 21/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 167684801 | (05) | TX |
| 167686808 | (05) | TX |
| H88154 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.