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

Jodi Jade Wong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790629319

Jodi Jade Wong is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-3555
Fax: (210) 702-4239
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TX)

Record details

NPI number1790629319
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address7703 Floyd Curl Dr, San Antonio, TX 78229-3901

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