Individual
DR. ELISA DULCINEA O'HERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-4141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24078
NE
208D00000X
General Practice Physician
24078
NE
Other
Enumeration date
05/23/2007
Last updated
09/27/2023
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