Dejesus, Elvira S

Dejesus, Elvira S is an individual health care provider with primary practice located at 527 N Leona St , San Antonio TX 78207-3110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Dejesus, Elvira S can be contacted via phone (210) 731-1300.

Contact Information

Primary practice address
527 N Leona St San Antonio TX 78207-3110
Phone: (210) 731-1300
Fax: (210) 738-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 444580 Texas

Profile Details

NPI number 1093761009
LBN Legal business name Dejesus, Elvira S
Credentials APN-CNS
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093761009 NPPES
Texas MEDICAID 151331903

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