Jacob Daniel Ethridge, PA

Physician assistant in San Antonio, Texas · NPI 1104301852

Jacob Ethridge is one of 716 physician assistants practicing in San Antonio, Texas. Jacob Ethridge practices with NLUC PLLC.

Registry record (NPPES)

NPI
1104301852
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
1150 N Loop 1604 W Ste 150
San Antonio, TX 78248-4505
(281) 783-8162
Enumerated
Sep 28, 2018
Record last updated
Jun 29, 2022
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

More physician assistants in San Antonio

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.