Individual
DEIDRA ELIZABETH MCCUTCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2829 BABCOCK RD STE 700, SAN ANTONIO, TX 78229-6015
(210) 593-1475
(210) 593-1478
Mailing address
400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX 78216-6991
(210) 804-5416
(210) 678-4142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
01/10/2020
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