Provider Demographics
NPI:1104459817
Name:DEMES, JESSICA (MD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:DEMES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3551 ROGER BROOKE DRIVE
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY, JBSA-FORT SAM HOUSTON
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-292-7805
Mailing Address - Fax:210-292-7868
Practice Address - Street 1:3551 ROGER BROOKE DRIVE
Practice Address - Street 2:INTERNAL MEDICINE RESIDENCY, JBSA-FORT SAM HOUSTON
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-292-7805
Practice Address - Fax:210-292-7868
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2023-08-11
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Provider Licenses
StateLicense IDTaxonomies
VA0101273291207RG0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology