MEDICARE: DR. JENNIFER C SEGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	L0927	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720086879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER C SEGER MD

Provider Business Mailing Address
First Line	:	335 E SONTERRA BLVD STE 200A
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4385
Country	:	US
Telephone Number	:	210-807-7341
Fax Number	:	210-807-7341

Provider Business Practice Location Address
First Line	:	8711 VILLAGE DR
Second Line	:	SUITE 200
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5418
Country	:	US
Telephone Number	:	210-651-1411
Fax Number	:	210-651-1811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	05/30/2024

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