Individual
REGINA MARIE FEARMONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11503 NW MILITARY HWY, STE 114, SAN ANTONIO, TX 78231-1884
(210) 343-1089
Mailing address
11503 NW MILITARY HWY, STE 114, SAN ANTONIO, TX 78231-1884
(210) 343-1089
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M4776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184580202
—
TX
01
—
8W4570
BCBS
TX
Enumeration date
09/19/2006
Last updated
03/09/2016
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