Individual
MICHELLE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
928 W COMMERCE ST, SAN ANTONIO, TX 78207-4444
(210) 261-1200
(210) 434-0716
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 261-1000
(210) 261-1821
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M8183
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M8183
MD
TX
Enumeration date
12/12/2007
Last updated
03/04/2019
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