Individual
JESSE STEPHEN USREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4500
(210) 567-0083
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-4500
(210) 567-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1002908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413345601
—
TX
01
—
413345602
CSHCN
TX
Enumeration date
04/04/2020
Last updated
11/30/2020
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