Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacqueline Danielle Vidosh, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1760772479

Dr. Jacqueline Danielle Vidosh, MD is an Obstetrics & Gynecology Physician in Fort Sam Houston, Texas. Works from 2 locations. Licensed in Indiana and Texas.

Licensed in
IN, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 539-9582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 — (210) 292-8966

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence R9034 (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 01073696A (IN)

Record details

NPI number1760772479
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2011
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504

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