person
Ms. Mary Louise Ducharme, OTR
Military Health Care Provider in San Antonio, Texas
NPI 1801160577

Mary Louise Ducharme is a Military Health Care Provider based in Imperial Beach, TX. Mary Louise Ducharme practices in San Antonio, TX and has the professional credentials of OTR. The NPI Number for Mary Louise Ducharme is 1801160577 and holds a License No. 11244 (Texas).

The current practice location address for Mary Louise Ducharme is 5441 Babcock Rd, San Antonio, TX and can be reached out via phone at 210-615-1117 and via fax at 210-253-3830.

Location: 5441 Babcock Rd, San Antonio, TX, 91932-1136
person
Provider Profile Details
NPI Number
1801160577
Provider Name
Mary Louise Ducharme
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
5441 Babcock Rd, San Antonio, TX, 91932-1136
Phone Number
210-615-1117
Fax Number
210-253-3830
Provider Enumeration Date
02/28/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5441 Babcock Rd
City
State
Zip
78240-3993
Phone Number
210-615-1117
Fax Number
210-253-3830
person
Provider Business Mailing Address Details
Address
5441 Babcock Rd
City
State
Zip
78240-3993
Phone Number
210-615-1117
Fax Number
210-253-3830
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
11244 (California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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