Individual
MS. ELAINE MARIE DECESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
3551 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4504
(210) 916-2560
Mailing address
3551 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4504
(210) 916-2560
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
646479
TX
Other
Enumeration date
11/22/2005
Last updated
05/19/2015
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