Individual
DEBORAH CERESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10001 S IH 35, AUSTIN, TX 78747-1701
(512) 440-0555
(512) 448-1113
Mailing address
10001 S IH 35, AUSTIN, TX 78747-1701
(512) 440-0555
(512) 448-1113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104410
MEDICAL LICENSE
FL
Enumeration date
07/02/2008
Last updated
07/21/2022
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