Individual
MR. JOHN J DEMBROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-8302
Mailing address
112 JESSE JAMES DR, NOLANVILLE, TX 76559
(210) 316-1377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190273602
—
TX
05
—
190273603
—
TX
05
—
190273604
—
TX
Enumeration date
01/10/2007
Last updated
05/21/2012
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