IndividualActive
Jerry Greeson, MED, LAT, ATC
NPI 1831799238 · Sports Medicine (Emergency Medicine) Physician · Jbsa Lackland, TX
Provider details
- NPI number
- 1831799238
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MED, LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT0646 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2239 Walker Ave Bldg 5570
Jbsa Lackland, TX 78236-5632
Phone: (210) 365-8316
Approximate (ZIP-level) locationGet directions
Mailing address
24526 Drew Gap
San Antonio, TX 78255-2284
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.