Jason P Deroche in San Antonio - Rehabilitation
Jason P Deroche - NPI 1295896512
Jason P Deroche is a Rehabilitation in San Antonio, Texas. Jason P Deroche practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Jason P Deroche is 1295896512. The last update date is 2023-10-23.
Jason P Deroche's current location address is 255 E Sonterra Blvd Ste 110, San Antonio, Texas. You can contact this provider via phone number 8004046050 and fax number 8663133397. The mailing address for Jason P Deroche is 255 E Sonterra Blvd Ste 110, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason P Deroche |
|---|---|
| Address | 255 E Sonterra Blvd Ste 110, San Antonio, Texas |
| Phone Number | 8004046050 |
| Fax Number | 8663133397 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1295896512 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2023-10-23 |
Provider Mailing Address Detail
| Address | 255 E Sonterra Blvd Ste 110 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782584076 |
| Phone Number | 8004046050 |
| Fax Number | 8663133397 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | 11031 |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11031 | TX | CHIROPRACTIC LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jason P Deroche by the Centers for Medicare & Medicaid Services (CMS)?
The Jason P Deroche has been assigned the NPI (National Provider Identifier) 1295896512. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jason P Deroche?
The Jason P Deroche is physically situated at 255 E Sonterra Blvd Ste 110, in the city of San Antonio, state of TX, with the postal code 782584076.
What is Jason P Deroche's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason P Deroche is Rehabilitation, and the taxonomy classification code that categorizes this area of expertise is 111Nr0400X.
When was the Jason P Deroche's 1295896512 issued?
The Jason P Deroche's 1295896512 was issued on 2006-12-12.
As of what date was the information regarding Jason P Deroche, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jason P Deroche, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-23.
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