Provider Demographics
NPI:1649708629
Name:SAEGER, JESSICA BROOKE (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BROOKE
Last Name:SAEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:UROLOGY RESIDENCY RESIDENCY PROGRAM
Mailing Address - Street 2:3551 ROGER BROOKE DR, JBSA
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234
Mailing Address - Country:US
Mailing Address - Phone:210-916-4126
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-0439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101280573208800000X
CODR.0061390208D00000X
171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
No208800000XAllopathic & Osteopathic PhysiciansUrology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice