Individual
DR. ANASTASIA JERMIHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8040
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01092379A
IN
Other
Enumeration date
03/04/2022
Last updated
01/28/2024
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