Individual
SHERRYL DENISSE MITCHELL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12446 WEST AVE, SAN ANTONIO, TX 78216-2517
(210) 729-2262
Mailing address
12446 WEST AVE, SAN ANTONIO, TX 78216-2517
(210) 729-2262
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R6443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31012
JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA
PR
Enumeration date
08/08/2014
Last updated
04/29/2021
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