Provider Demographics
NPI:1053974659
Name:PURSER, JEREMY DAVID (MD)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:DAVID
Last Name:PURSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2967 OAK RUN PKWY # 210
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-5379
Mailing Address - Country:US
Mailing Address - Phone:830-626-5551
Mailing Address - Fax:830-626-5593
Practice Address - Street 1:2967 OAK RUN PKWY # 210
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-5379
Practice Address - Country:US
Practice Address - Phone:830-626-5551
Practice Address - Fax:830-626-5593
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT9776207N00000X
TXBP10066733207R00000X
TXBP20071166390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program