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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY LEE DICKERSON, MD

Active

DR. JEREMY LEE DICKERSON, MD is a Sports Medicine healthcare provider located in SAN ANTONIO, Texas. NPI 1043446206 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · SAN ANTONIO, TX

Registration Details

NPI Number
1043446206
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2009 (17.156341044892 yrs)
Last Updated
Nov 27, 2019
Licenses
BP10035367 (TX)
P4860 (TX)

Practice Information

Address
1139 E SONTERRA BLVD STE 205
SAN ANTONIO, TX, 782584349
Browse TX providers · Browse ZIP 78258
Phone
2108743359
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine

Other Sports Medicine Providers in SAN ANTONIO, TX

Name Credential NPI
DR. ELIOT JAMES YOUNG MD 1942206008
GUY WILLIAM NICOLETTE MD 1104885524
DR. WALTER L. CALMBACH MD 1275626046
DR. TIMOTHY SCOTT PALOMERA MD 1841347614
RODOLFO ROMAN NAVARRO M.D 1568665958
DR. HECTOR URIEL LOPEZ M.D. 1043494032
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.