Provider Demographics
NPI:1396976320
Name:GAREE-DEXTER, JADE (MD)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:GAREE-DEXTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:
Other - Last Name:GAREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13022 JONES MALTSBERGER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-4219
Mailing Address - Country:US
Mailing Address - Phone:210-491-0772
Mailing Address - Fax:210-481-2769
Practice Address - Street 1:13022 JONES MALTSBERGER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-4219
Practice Address - Country:US
Practice Address - Phone:210-491-0772
Practice Address - Fax:210-481-2769
Is Sole Proprietor?:No
Enumeration Date:2009-08-08
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5263208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics