Individual
TERESITA MOURET BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8109 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3311
(210) 575-0250
(210) 575-0258
Mailing address
2727 TREBLE CRK APT 724, SAN ANTONIO, TX 78258-4555
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H1049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126294109
—
TX
01
—
8U9623
BCBS
TX
Enumeration date
06/17/2005
Last updated
01/05/2009
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