Individual
DR. CHRISTINE REGINA EREVELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15900 LA CANTERA PKWY, SUITE 20256, SAN ANTONIO, TX 78256-2422
(210) 314-4740
Mailing address
15900 LA CANTER PARKWAY, SUITE 15900 LEVEL 5 HEALTHCARE, SAN ANTONIO, TX 78256
(210) 314-4740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD047572L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001304314
—
PA
Enumeration date
07/11/2006
Last updated
07/22/2011
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