Individual
MICHELL ALEXANDRE LLERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 997-2060
Mailing address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 567-5742
(210) 567-3483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10091738
TX
Other
Enumeration date
04/11/2025
Last updated
04/25/2025
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