Individual
DR. JETT JOSEPH MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01057038A
IN
207L00000X
Anesthesiology Physician
Primary
P1107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296762203
—
TX
01
—
296762204
CSHCN
TX
Enumeration date
07/31/2006
Last updated
06/30/2017
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