Dickerson, Jeremy Lee

Dickerson, Jeremy Lee is an individual health care provider with primary practice located at 1139 E Sonterra Blvd Ste 205 , San Antonio TX 78258-4349. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Dickerson, Jeremy Lee can be contacted via phone (210) 874-3359.

Contact Information

Primary practice address
1139 E Sonterra Blvd Ste 205 San Antonio TX 78258-4349
Phone: (210) 874-3359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10035367 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X P4860 Texas

Profile Details

NPI number 1043446206
LBN Legal business name Dickerson, Jeremy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Nov 27th, 2019 - about 5 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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