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Jared Thomas Foote

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

PECOS Enrollment

This provider is enrolled in PECOS as JARED FOOTE.

Based on the most recent information from CMS, provider Jared Thomas Foote is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053767913
Provider Type
Individual
Full Name
Foote, Jared Thomas
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/10/2016
Last Updated
5/14/2024

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000

Unlisted Fax

Mailing Location

7703 Floyd Curl Dr, San Antonio, TX 78229-3901

(210) 567-4500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License S230P Texas
Code 207LP3000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License S2300 Texas

Jared Thomas Foote

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Trevino, Kimberly Danielle

Gutierrez, Olivia

Attia, Ahmed

Klumpp, Carly

Matulewicz, Antoni L

Lindauer, Steven Lee

Wissa, Michael F.

Wilson, Travis David

Shaddock, William

Richardson, John S