Individual
MR. JERRY TYRONE LEMELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
4455 HORIZON HILL BLVD, SAN ANTONIO, TX 78229-2258
(337) 794-8715
Mailing address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(877) 469-5300
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
26454
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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