Individual
DERINDA MUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FIRST ASSISTANT
Contact information
Practice address
215 N LOOP 1604 E, 7105, SAN ANTONIO, TX 78232-1276
(210) 316-9797
Mailing address
215 N LOOP 1604 E, 7105, SAN ANTONIO, TX 78232-1276
(210) 316-9797
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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