NPI Atlas

Jacob Daniel Ethridge, PA

Physician Assistant in San Antonio, Texas. NPI 1104301852.

NPI1104301852

Registry record

NPI
1104301852
Profession
Physician Assistant (PA)
Specialty
Physician Assistant (363A00000X)
Practice address
1150 N Loop 1604 W Ste 150
San Antonio, TX 78248
Phone
2817838162
In the registry since
September 28, 2018
Last NPPES update
June 29, 2022
Sole proprietor
No
License
PA12348 (TX)

At this location

6 other providers in our data list 1150 N Loop 1604 W Ste 150, San Antonio as a practice address:

In context

The NPI number of Jacob Ethridge is 1104301852. They are a Physician Assistant in San Antonio, Texas.

Jacob Ethridge is one of 882 Physician Assistants in San Antonio and one of 11,405 across Texas in our data. San Antonio ranks #3 among Texas cities in our dataset, with 3,972 NP and PA providers.

The NPI has been in the federal registry for 7 years, since September 28, 2018.

Frequently asked questions

What is NPI 1104301852?

NPI 1104301852 is the 10-digit National Provider Identifier assigned to Jacob Ethridge, a Physician Assistant practicing in San Antonio, Texas. The record has been in the NPPES registry since September 28, 2018.

How do I verify this provider?

Cross-check NPI 1104301852 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA12348 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.

Is this information current?

This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as June 29, 2022. We refresh our data each month when CMS publishes a new file.

Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.