P Praxis·MD
● Active Type 1 · Individual

DR. Jacqueline Danielle Vidosh, MD

Obstetrics & Gynecology·Fort Sam Houston, TX· NPI 1760772479 · Enumerated 2011 · 15 years on NPI
Vidosh is 1 of 15 obstetrics & gynecology providers in Fort Sam Houston and 1 of 4633 in Texas.
NPI age
15 years
Enumerated 2011-04-14
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
TX, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4633 active obstetrics & gynecology providers in Texas.

NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2105399582
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2109161598

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102928966

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    TX license #R9034IN license #01073696A taxonomy 207V00000X

Practice context

Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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