Individual
DENA HEDGEPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
(210) 377-3355
Mailing address
7710 W INTERSTATE 10, SAN ANTONIO, TX 78230-4711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
929251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W00000X
—
TX
Enumeration date
09/19/2018
Last updated
09/19/2018
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