| Dr Jessica A Hetherington, MD | |
|
102 Lacey Oak, Shavano Park, TX 78230-5611 | |
| (917) 439-6971 | |
| Not Available |
| Full Name | Dr Jessica A Hetherington |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 102 Lacey Oak, Shavano Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184916546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | Q4183 (Texas) | Primary |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Vpa Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Bexar Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548034994 PECOS PAC ID: 4981049129 Enrollment ID: O20240228001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica A Hetherington, MD 102 Lacey Oak, Shavano Park, TX 78230-5611 Ph: (917) 439-6971 | Dr Jessica A Hetherington, MD 102 Lacey Oak, Shavano Park, TX 78230-5611 Ph: (917) 439-6971 |
Jorge Augusto Kohatsu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 14530 Nw Military Hwy, Shavano Park, TX 78231 Phone: 210-450-6620 Fax: 210-450-6621 |