Individual
DR. ERIK SCOTT DESOUCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-1064
Mailing address
3551 RODGER BROOKE DRIVE, JBSA - FORT SAM HOUSTON, TX 78234
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
20A11509
CA
208600000X
Surgery Physician
Primary
20A11509
CA
Other
Enumeration date
06/09/2009
Last updated
09/26/2019
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