Provider Demographics
NPI:1285831594
Name:ARZOLA, JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:ARZOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 WISEMAN BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4419
Mailing Address - Country:US
Mailing Address - Phone:210-951-9495
Mailing Address - Fax:210-951-9493
Practice Address - Street 1:3903 WISEMAN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4419
Practice Address - Country:US
Practice Address - Phone:210-951-9495
Practice Address - Fax:210-951-9493
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6505207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM6505OtherMEDICAL LICENSE
TX00Z263Medicare PIN
TX00Z263Medicare PIN
TX371551781OtherTAX ID