Individual
SHERI LYNN DEMARTELAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
3551 ROGER BROOKE DR QUALITY SERVICES/7TH FLOOR, BROOKE ARMY MEDICAL CENTER, ATTN: MCHE-ZQQ, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-2338
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L8321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167473101
—
TX
Enumeration date
11/03/2005
Last updated
04/24/2018
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